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冠心病患者无陪护模式就医意愿及影响因素研究

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目的 了解冠心病患者对无陪护模式的就医意愿并探讨其影响因素。方法 采用一般资料调查表、中文版健康调查简表、照顾者压力量表对 250 对冠心病住院患者及主要照顾者进行调查。结果 250 例患者中选择无陪护模式就医 124 例(49。60%)。Logistic回归分析显示,患者性别、患者工作状况、主要照顾者年龄、患者躯体疼痛程度和主要照顾者身体、社交状况是影响冠心病患者选择无陪护模式的影响因素(P<0。01 或P<0。05)。结论 冠心病患者选择无陪护模式的就医意愿较低,建议医院管理者在精准确定服务对象的基础上,考虑患者及主要照顾者的照护需求以提供个性化服务,从而进一步提升无陪护就医意愿。
Study on unaccompanied medical willingness and influencing factors of patients with coronary heart disease
Objective To investigate the willingness of patients with coronary heart disease to seek medical treatment in unaccompa-nied mode and explore its influencing factors.Methods A total of 250 inpatients with coronary heart disease and their main caregivers were investigated by general data questionnaire,Chinese version of 36-Item Short Form Health Survey,and Caregiver Stress Index.Results A-mong 250 patients,124(49.60%)chosed unaccompanied mode for medical treatment.Logistic regression analysis showed that the influencing factors of the choice included patient gender,patient working status,primary caregiver age,patient body pain level,and primary caregiver physical and social status(P<0.01 or P<0.05).Conclusion Patients with coronary heart disease have a low willingness to seek medical treatment without an escort.It is suggested that hospital managers should consider the care needs of patients and main caregivers on the basis of accurately determining service objects,and provide personalized services to further enhance the willingness to seek medical treatment without an escort.

coronary heart diseaseunaccompaniedprimary caregiverwillingness to seek medical treatment

陈媛、范维英、白雅萍、林媛媛、吴林静、蓝晓燕、李开新

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361006,厦门市,厦门大学附属心血管病医院护理部

冠心病 无陪护 主要照顾者 就医意愿

福建省卫生健康政策创新研究课题福建省临床重点专科建设项目厦门市临床重点专科建设项目

2020B07[2022]884[2021]215

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(5)
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