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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

Status quo and correlation between readiness for discharge and quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery

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【作者】 杨梅牛玲莉郑娥林琳周洪霞唐聪

【Author】 YANG Mei;NIU Lingli;ZHENG E;LIN Lin;ZHOU Hongxia;TANG Cong;Department of Thoracic Surgery, West China Hospital, Sichuan University;West China School of Medicine, Sichuan University;

【通讯作者】 杨梅;

【机构】 四川大学华西医院胸外科四川大学华西临床医学院

【摘要】 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,并探讨二者的相关性。方法本研究为横断面调查研究。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例出院当天肺癌手术后患者进行问卷调查。其中男65例、女76例,年龄18~85(55.35±12.15)岁。结果 88.65%肺癌手术后患者出院准备充分,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内容,以更好地提高肺癌患者的出院准备度。

【Abstract】 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 to analyze their correlation.Methods We conducted a cross-sectional study and 141 postoperative patients with lung cancer in our hospital from July to August 2018 were investigated by general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. There were 65 males and 76 females at age of 18-85(55.35±12.15)years. 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, and the total score of quality of discharge teaching was90.94±18.62. There was a 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.

【基金】 四川省科技厅项目资助(2017SZ0168)
  • 【文献出处】 中国胸心血管外科临床杂志 ,Chinese Journal of Clinical Thoracic and Cardiovascular Surgery , 编辑部邮箱 ,2019年09期
  • 【分类号】R473.73
  • 【网络出版时间】2019-03-12 09:40
  • 【被引频次】7
  • 【下载频次】458
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