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赵慧华.上海地区慢性病患者出院准备度现状及影响因素分析[J].上海护理,2020,20(10):
上海地区慢性病患者出院准备度现状及影响因素分析
The current situation and influencing factors of readiness for hospital discharge of patients with chronic diseases in Shanghai
DOI：
中文关键词:  慢性病 出院准备度 现状 影响因素
英文关键词:chronic disease  readiness for hospital discharge  status quo  influencing factors
基金项目:上海市卫生和计划生育委员会科研课题资助项目（编号：201840116）
作者单位E-mail
赵慧华* 复旦大学附属中山医院 13681970915@163.com 
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中文摘要:
      目的 调查上海地区慢性病患者的出院准备度现状，探讨其影响因素，为提升慢性病患者出院准备度的干预性研究提供依据。 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上海市7所三级甲等综合医院的602例慢性病患者进行调查。 结果 上海地区慢性病患者的出院准备度总分为8.01±1.41，处于中高水平。多重线性回归分析结果显示，慢性病种类、住院天数、疾病知识知晓程度、是否有其他慢性病或合并症、就医取药是否方便、感知自理能力下降、出院指导技巧及效果是慢性病患者出院准备度的主要影响因素。结论 医护人员应针对慢性病的不同种类，合理评估、结合需求给予个体化干预措施，提升患者出院准备度，改善出院后结局。
英文摘要:
      To investigate the status quo of readiness for hospital discharge among patients with chronic diseases and explore its influencing factors in Shanghai, so as to provide evidence for clinical nursing intervention. Methods The cross-sectional survey was conducted in 7 tertiary care hospitals in Shanghai. A self-designed general information questionnaire, Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale were delivered to a total of 602 patients with chronic diseases. Results The total score of readiness for hospital discharge was 8.01±1.41, which was at a medium and high level. Multiple linear regression showed that types of chronic diseases, length of stay, knowledge status of disease, multimorbidity or complication, convenience of medical treatment, decline of perceived self-care ability, "delivery" subscale of discharge teaching were the major influencing factors(P＜0.05). Conclusion Healthcare providers should give individualized interventions by considering types of chronic diseases and evaluating patients rationally to identify needs, so as to improve readiness for hospital discharge and outcomes of patients with chronic disease after discharge
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
国内标准连续出版物号：31-1846/R    国际标准出版物号：1009-8399   国内邮发代号：4-766
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