用户名: 密码: 验证码:
宫颈癌根治术后居家清洁间歇导尿患者出院准备度及影响因素调查
详细信息    查看全文 | 推荐本文 |
  • 英文篇名:Perceived readiness for hospital discharge and its associated factors in cervical cancer patients undergoing radical hysterectomy and requiring clean intermittent self-catheterization
  • 作者:高杰 ; 王冰花 ; 汪晖 ; 张宏 ; 刘莉 ; 范莹 ; 卢吉 ; 居红英 ; 胡小梅 ; 刘双
  • 英文作者:Gao Jie;Wang Binghua;Wang Hui;Zhang Hong;Liu Li;Fan Ying;Lu Ji;Ju Hongying;Hu Xiaomei;Liu Shuang;Department of Gynaecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology;
  • 关键词:宫颈癌 ; 宫颈癌根治术 ; 清洁间歇导尿 ; 出院准备度 ; 出院指导 ; 主要照顾者 ; 居家护理
  • 英文关键词:cervical cancer;;radical hysterectomy;;clean intermittent self-catheterization;;readiness for hospital discharge;;discharge teaching;;main caregiver;;home care
  • 中文刊名:HLXZ
  • 英文刊名:Journal of Nursing Science
  • 机构:华中科技大学同济医学院附属同济医院妇产科;华中科技大学同济医学院附属同济医院护理部;
  • 出版日期:2019-07-25
  • 出版单位:护理学杂志
  • 年:2019
  • 期:v.34
  • 基金:华中科技大学同济医学院附属同济医院2017年院基金(2017C007);; 华中科技大学院系自主创新研究基金(2016YXMS161)
  • 语种:中文;
  • 页:HLXZ201914007
  • 页数:3
  • CN:14
  • ISSN:42-1154/R
  • 分类号:20-22
摘要
目的调查宫颈癌根治术后居家清洁间歇导尿患者出院准备度及影响因素,为实施针对性护理干预提供参考。方法采用一般资料调查表、出院准备度量表、出院指导质量量表对132例宫颈癌根治术后需要居家清洁间歇导尿患者进行调查。结果患者出院准备度总分为92.45±12.34;多元线性回归分析显示,居住地、主要照顾者、出院指导质量是宫颈癌根治术后居家清洁间歇导尿患者出院准备度的主要影响因素(P<0.05,P<0.01)。结论宫颈癌根治术后居家清洁间歇导尿患者出院准备度处于中等水平,临床医护人员应加强出院指导,根据患者情况给予针对性的干预措施,确保患者出院后的安全。
        Objective To describe the status of readiness for hospital discharge and its associated factors in patients with cervical cancer undergoing radical hysterectomy and requiring clean intermittent self-catheterization, and to provide references for targeted intervention. Methods A total of 132 patients with cervical cancer undergoing radical hysterectomy and requiring clean intermittent self-catheterization were investigated using the general information questionnaire, the Readiness for Hospital Discharge Scale and the Quality of Discharge Teaching Scale. Results They scored 92.45±12.34 on readiness for hospital discharge. Multiple linear regression analysis showed that place of residence, main caregivers and quality of discharge teaching were influencing factors of readiness for hospital discharge(P<0.05, P<0.01). Conclusion The readiness for hospital discharge was at a medium level in cervical cancer patients undergoing radical hysterectomy and requiring clean intermittent self-catheterization. Medical personnel should strengthen discharge teaching and provide targeted interventions according to patients′ conditions, thus to ensure patient safety after hospital discharge.
引文
[1] Lau D,Padwal R S,Majumdar S R,et al.Patient-reported discharge readiness and 30-day risk of readmission or death:a prospective cohort study[J].Am J Med,2016,129(1):89-95.
    [2] 鲁媛媛,张茹梅,于悦,等.宫颈癌根治术后尿潴留相关因素的分析及防治措施[J].中国生育健康杂志,2017,28(1):61-63.
    [3] Turnbull H,Burbos N,Abu-Freij M,et al.A novel approach to postoperative bladder care in women after radical hysterectomy[J].Arch Gynecol Obstet,2012,286(4):1007-1010.
    [4] 高杰,张宏,刘莉,等.间歇导尿在宫颈癌根治术后患者膀胱功能康复的应用[J].护理学杂志,2018,33(16):81-83.
    [5] 中国康复医学会康复专业委员会.神经源性膀胱护理实践指南(2017版)[J].护理学杂志,2017,32(24):1-7.
    [6] 林小玲,邓惠珍,刘东霞,等.间歇性自我清洁导尿术在宫颈癌术后尿潴留患者中的应用[J].护理学杂志,2016,31(24):58-59,69.
    [7] 许晓君.宫颈癌术后尿潴留采取间歇性自我清洁导尿术治疗的效果分析[J].全科护理,2018,16(18):2240-2242.
    [8] Weiss M E,Piacentine L B.Psychometric properties of the Readiness for Hospital Discharge Scale[J].J Nurs Meas,2006,14(3):163-180.
    [9] Lin Y H,Kao C C,Huang A M,et al.Psychometric testing of the Chinese version of the Readiness for Hospital Discharge Scale[J].Hu Li Za Zhi,2014,61(4):56-65.
    [10] 王冰花,汪晖,杨纯子.中文版出院指导质量量表的信效度测评[J].中华护理杂志,2016,51(6):753-756.
    [11] 王芳,袁丽.糖尿病患者出院准备度与出院指导质量现状相关性分析[J].上海护理,2018,18(5):20-23.
    [12] Lerret S M,Weiss M E.How ready are they?Parents of pediatric solid organ transplant recipients and the transition from hospital to home following transplant[J].Pediatr Transplant,2011,15(6):606-616.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700