摘要
目的 探讨肺结核患者出院准备度现状及影响因素.方法 选取2022年1月至2023年6月于江苏省淮安市第四人民医院收治的134例肺结核患者资料进行回顾性分析,根据出院准备度量表评分将其分为出院准备度高组(83例)和出院准备度低组(51例).出院准备度高组出院准备度量表评分≥ 132分,出院准备度低组出院准备度量表评分＜132分.调查患者一般资料、出院准备度、自我照护能力和延续护理质量,采用单因素及二元logistic回归模型分析肺结核患者出院准备的影响因素.结果 两组合并其他慢性病、居住城镇、出院后有人照顾、就医取药方便、自我照护能力评价量表(ASA)评分和延续护理测评量表(CTM)评分比较,差异有统计学意义(P＜0.05).二元logistic回归模型结果显示,合并其他慢性病[OR=6.903,95％CI(3.221,14.797),P=0.002]、出院后有人照顾[OR=0.212,95％CI(0.098,0.455),P＜0.001]、ASA 评分[OR=0.263,95％CI(0.126,0.548),P＜0.001]和 CTM 评分[OR=0.257,95％CI(0.122,0.540),P＜0.001]是肺结核患者出院准备度的独立影响因素.结论 应加强对患者住院期间疾病相关教育,提高患者自我照护能力,并落实对患者出院后延续性护理,以提高肺结核患者出院准备度.
Abstract
Objective To investigate current status and influencing factors of discharge preparedness in patients with tuberculosis.Methods Data of 134 patients with tuberculosis admitted to Huaian No.4 People's Hospital of Jiangsu Province from January 2022 to June 2023 were retrospec-tively analyzed.According to score of discharge readiness scale,they were divided into high discharge readiness group(83 cases)and low discharge readiness group(51 cases).Discharge readiness scale score of high discharge readiness group was ≥ 132 points,and discharge readiness scale score of low discharge readiness group was＜132 points.General information,discharge readiness,self-care ability,and quality of extended care were investigated.Single factor and binary logistic regression model were used to analyze influencing factors of discharge readiness in patients with tuberculosis.Results There were statistically significant differences between two groups in combined with other chronic diseases,town of residence,someone to take care of after discharge,convenience to get medical treatment,appraisal of self-care agency(ASA)and care transitions measure(CTM)scores(P＜0.05).Results of binary logistic regression model showed that combined with other chronic diseases(OR=6.903,95％CI[3.221,14.797],P=0.002),someone to take care of after discharge(OR=0.212,95％CI[0.098,0.455],P＜0.001),ASA score(OR=0.263,95％CI[0.126,0.548],P＜0.001),and CTM score(OR=0.257,95％CI[0.122,0.540],P＜0.001)were independent influencing factors of discharge readiness in patients with tuberculosis.Conclusion It is necessary to strengthen disease-related education of patients during hospitalization,improve self-care ability of patients,implement continuous care for patients after discharge,and improve discharge readiness of patients with tuberculosis.
基金项目
江苏省卫生健康委员会医学科研项目(M2021088)
NETL
NSTL
万方数据