中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

基于加速康复外科理念肺癌患者出院准备度与出院指导质量现状及相关性分析

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目的 分析加速康复外科模式下肺癌手术患者出院准备度与出院指导质量现状,并探讨二者间的相关关系。 方法 横断面调查研究,采用一般资料调查表、出院准备度量表和出院指导质量量表,对 2018 年 7~8 月我院胸外科 141 例出院当天的肺癌手术后患者进行问卷调查。 结果 88.65% 肺癌手术后患者表示做好了出院准备,出院准备度总分为(78.36±16.48)分,出院指导质量总分为(90.94±18.62)分,出院准备度与出院指导质量呈正相关(r=0.57,P<0.01)。 结论 肺癌手术后患者出院准备度现状处于中等水平,出院指导质量较好,其出院准备度和出院指导质量呈中度正相关;加速康复外科模式下,医务人员应对患者疾病相关信息认知水平和身体机能恢复情况投入更多关注,同时进一步丰富出院指导的内容,以更好地提高肺癌患者的出院准备度。

Objective To explore the current situation of the readiness for hospital discharge and the quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery, and analyze their correlation. Methods We conducted a cross-sectional study and 141 postoperative patients with lung cancer in the department of thoracic surgery of our hospital from July to August 2018 were investigated by general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. Results Totally 88.65% of postoperative patients with lung cancer reported that they were ready for discharge, and the total score of readiness for hospital discharge was 78.36±16.48 while the total score of quality of discharge teaching was 90.94±18.62. There was positive correlation between the readiness for hospital discharge and the quality of discharge teaching in postoperative patients with lung cancer (r=0.57, P<0.01). Conclusion The readiness for hospital discharge of postoperative patients with lung cancer keeps in medium level while the quality of discharge teaching is good, and the readiness for hospital discharge is positively correlated with the quality of discharge teaching. Medical staff should pay more attention to the cognitive level of lung cancer patients' disease-related information and their physical function recovery, and enrich the discharge guidance content, in order to improve the readiness of postoperative patients with lung cancer.

关键词: 加速康复外科; 肺癌; 出院准备度; 出院指导质量

Key words: Enhanced recovery after surgery; lung cancer; readiness for hospital discharge; quality of discharge teaching

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1. 车国卫. 加速肺康复外科临床实践及证据. 中国肺癌杂志, 2017, 20(6): 371-375.
2. Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs, 2016, 15: 46.
3. 赵会玲, 冯先琼, 余蓉, 等. 病人出院准备度护理研究进展. 中国护理管理, 2013, 13(6): 81-83.
4. 王冰花, 汪晖, 杨纯子, 等. 冠心病患者出院指导质量的调查分析. 护理学杂志, 2017, 32(1): 75-78.
5. 张雨晨, 戴燕. 日间腹腔镜下胆囊切除术患者出院准备度与出院指导质量现状调查及相关性分析. 华西医学, 2016, 31(4): 635-638.
6. 王芳, 袁丽. 骨质疏松症患者出院准备度与出院指导质量现状及相关性研究. 护理学报, 2016, 23(10): 5-7.
7. Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
8. Zhao H, Feng X, Yu R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2016, 24(4): 321-328.
9. Fenwick AM. An interdisciplinary tool for assessing patients' readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
10. 刘敏, 李国宏, 张扬. 出院患者延续护理实施现状. 中国护理管理, 2015, 15(12): 1518-1521.
11. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
12. 徐志华, 林嵘嘉, 车国卫, 等. 肺术后咳嗽评估--中文版莱斯特咳嗽量表的应用价值. 中国肺癌杂志, 2017, 20(6): 389-394.
13. 唐煜东, 梅小丽, 郑娥, 等. 胸部肿瘤术后患者不良情绪现状及影响因素分析. 中国胸心血管外科临床杂志, 2018, 25(1): 67-70.
14. 王小琳, 罗仕兰, 周世群, 等. 系统性出院指导对冠状动脉支架置入术后患者院外服药依从性的影响. 重庆医学, 2013, 42(3): 258-259, 262.
15. 杨梅, 余娜, 田聪林. 多元化术前宣教模式对减轻患者术前心理压力及手术效果的影响分析. 检验医学与临床, 2016, 13(16): 2348-2350.
16. Tse KY, So WK. Nurses' perceptions of preoperative teaching for ambulatory surgical patients. J Adv Nurs, 2008, 63(6): 619-625.
17. Hill CA. Acute heart failure: too sick for discharge teaching? Crit Care Nurs Q, 2009, 32(2): 106-111.
18. 权明桃, 蒲德琴, 徐应琴, 等. 多种形式健康宣教在脑卒中患者中应用的效果评价. 中国实用护理杂志, 2011, 27(8): 45-46.
19. Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec, 2007, 21(1): 31-42.
20. 中国加速康复外科专家组. 中国加速康复外科围手术期管理专家共识(2016). 中华外科杂志, 2016, 54(6): 413-418.