影响乳腺癌手术患者出院准备程度的因素

Na Li, Wanwei Huang, Lijuan Zhang, Lijun Jiang, Xiao-Li Lin, Haiting Wu, Yuting Huang, Yue Li
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引用次数: 0

摘要

背景:乳腺癌已成为危害妇女健康的重要疾病负担。乳腺癌的治疗主要是手术治疗。在增强术后恢复的背景下,平均住院时间缩短,因此对术后患者出院准备的关注日益增加。目的:了解影响乳腺癌手术患者出院准备程度的因素,探讨出院准备程度与出院教学质量的关系。方法:采用方便抽样法,收集广州市某区域性三级医疗肿瘤中心2021年6月至2021年12月乳腺癌术后患者99例。采用一般资料问卷、出院准备程度量表、出院教学质量量表对被试进行问卷调查。结果:83.8%的患者感觉可以出院,出院准备得分为155.98±28.87分。患者接受的教学内容和教学技巧是影响出院准备的因素。用引流管出院是出院准备的一个独立因素。结论:乳腺癌手术患者出院准备程度处于中等以上水平,应针对出院准备程度的影响因素制定完善的干预措施。尤其应针对术后早期出院患者制定具体可执行的保障措施,促进居家护理的安全性。
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Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Breast Cancer Surgery
Background: Breast cancer has become an important disease burden harmful to women’s health. The treatment of breast cancer is mainly surgical treatment. In the context of enhanced recovery after surgery, the average length of hospital stay has been reduced, so there is increasing concern about postoperative patient discharge readiness. Objective: To identify factors influencing readiness for hospital discharge among patients having undergone breast cancer surgery and to explore the relationship between discharge readiness and the quality of discharge teaching. Methods: A total of 99 patients after breast cancer surgery at a regional tertiary medical tumor center in Guangzhou between June 2021 and December 2021 were collected using the convenience sampling method. A general data questionnaire, readiness for hospital discharge scale, and quality of discharge teaching scale were used to conduct a questionnaire survey on the subjects. Results: 83.8% of the patients feel ready for discharge, and the score of discharge readiness was 155.98 ± 28.87. The patients’ content received and the skills in teaching delivery were the influencing factors of discharge readiness. Discharged with a drainage tube was an independent factor of discharge readiness. Conclusions: Readiness for hospital discharge among patients undergoing breast cancer surgery was above medium level, and perfect intervention measures should be formulated for the influencing factors of discharge readiness. Especially, specific executable safeguard measures should be formulated for patients who are discharged early after surgery to promote the safety of home care.
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