目的 探讨多病共存患者的出院准备度及其影响因素，并制订相应策略，指导临床工作。 方法 采用横断面研究，2022年2—12月采用便利抽样法通过一般资料调查表、出院准备度量表对北京大学第三医院全科医学科183例多病共存慢性病患者进行问卷调查。采用多元线性回归分析出院准备度的影响因素。 结果 183例多病共存患者中男95例，女88例，年龄（67.34 ± 10.36）岁。出院准备度均分为（109.83 ± 18.40）分。多病共存慢性病患者出院准备度的影响因素中有54.9%来自于感知自理障碍、住院次数、陪住情况及是否做好出院准备4个方面（调整后R2=0.549，P<0.05）。 结论 全科医学科多病共存慢性病患者的出院准备度处于较高水平，临床护理人员对于感知自理障碍、需要陪住、多次住院，以及未做好出院准备的患者应提早给予干预，保证患者处于良好的出院准备状态。 Objective To explore the discharge readiness and influencing factors of patients with multimorbidity, and to formulate corresponding strategies to guide clinical work. Methods In a cross-sectional study, 183 patients were surveyed by convenience sample method for Department of General Practice, the Third Hospital of Peking University February in to December 2022. Multiple linear regression was used to analyze the factors affecting discharge readiness. Results All 183 coexisting patients, 95 males, 88 females, mean age (67.34 ± 10.36) years old. Mean discharge readiness was (109.83 ± 18.40). 54.9% of the factors for patients with multiple chronic diseases came from the perception of self-care disorder, hospitalization, stay, and preparation for discharge (R2=0.549, P<0.05). Conclusions The discharge readiness of patients with multiple chronic diseases in general medicine is at a high level, and clinical nursing staff should give early intervention to the patients who perceive self-care barriers, need to stay with them, have multiple hospitalization, and are not ready for discharge, so as to ensure that the patients are in a good state of discharge readiness.
Hospital discharge readiness and its influencing factors and nursing strategies in patients with chronic diseases with multiple diseases
Objective To explore the discharge readiness and influencing factors of patients with multimorbidity, and to formulate corresponding strategies to guide clinical work. Methods In a cross-sectional study, 183 patients were surveyed by convenience sample method for Department of General Practice, the Third Hospital of Peking University February in to December 2022. Multiple linear regression was used to analyze the factors affecting discharge readiness. Results All 183 coexisting patients, 95 males, 88 females, mean age (67.34 ± 10.36) years old. Mean discharge readiness was (109.83 ± 18.40). 54.9% of the factors for patients with multiple chronic diseases came from the perception of self-care disorder, hospitalization, stay, and preparation for discharge (R2=0.549, P<0.05). Conclusions The discharge readiness of patients with multiple chronic diseases in general medicine is at a high level, and clinical nursing staff should give early intervention to the patients who perceive self-care barriers, need to stay with them, have multiple hospitalization, and are not ready for discharge, so as to ensure that the patients are in a good state of discharge readiness.
General practiceMultimorbidityReadiness for hospital dischargeCountermeasures
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