摘要
目的:调查白内障日间手术病人出院准备度现状及护患间评估差异,并分析其影响因素,为科学评价病人出院准备度,构建以病人为中心的出院干预方案提供参考。方法:采用便利抽样法,选取2022年10月—12月于浙江省某三级甲等眼科医院日间病房住院的白内障病人为调查对象,采用一般资料调查表与自制出院准备度问卷(病人自评版及护士评价版)对病人及其责任护士进行调查。结果:245例病人自评出院准备度总分为74.0(67.5,79.5)分,153名护士评价的病人出院准备度得分为79.0(72.5,83.0)分。护患双方在出院准备度总分及各维度评分上均存在差异。病人首次行白内障手术、文化程度低、术后术眼视力改善是护患评分得分差异增大的危险因素(P<0.05)。文化程度低、首次手术、年龄≥75岁、术后术眼视力未改善、术前最佳视力≤4.0、女性是病人出院准备度的危险因素(P<0.05)。结论:白内障日间手术病人出院准备度处于中等偏上水平,护士的评价结果高于病人自评。在临床工作中,医护人员应重视文化程度低、首次行白内障手术病人的出院准备度水平,关注该类人群护患双方评价结果的差异,采取个性化的护理措施,以改善白内障日间手术病人的出院准备度水平,促进病人的出院安全。
Objective:To investigate the status quo of discharge readiness of patients undergoing cataract day surgery and the difference of evaluation between nurses and patients,and analyze the influencing factors.Methods:The convenience sampling method was used to select cataract patients in the day ward of an eye hospital in Zhejiang Province from October to December 2022 as the survey objects,and the general information questionnaire and self‐made discharge readiness questionnaire were used to investigate the patients and their responsible nurses.Results:The median score of discharge readiness self-assessed by 245 patients was 74.0(67.5,79.5),and the median score of 153 nurses was 79.0(72.5,83.0).There were differences in the total score of discharge readiness and the scores of each dimension between nurses and patients.The patients underwent cataract surgery for the first time,low education level,and postoperative visual acuity improvement were the risk factors for the increased difference in nurse-patient score scores(P<0.05).Low educational level,first operation,age≥75 years,no postoperative visual acuity improvement,preoperative best visual acuity≤4.0,and female were risk factors for discharge readiness(P<0.05).Conclusion:The discharge readiness of patients undergoing cataract day surgery is at a good level,and the evaluation results of nurses are higher than those of patients'self-evaluation.In clinical work,medical staff should pay attention to the discharge readiness of low‐education patients who underwent cataract surgery for the first time,pay attention to the differences in the evaluation results of nurses and patients in this group,and take personalized nursing measures to improve cataract day‐to‐day care.The level of discharge readiness of surgical patients to promote the safety of patients'discharge.
作者
陈晨
孙怡雯
张梦月
周叶伟
徐素梅
黄小芳
陈燕燕
CHEN Chen;SUN Yiwen;ZHANG Mengyue;ZHOU Yewei;XU Sumei;HUANG Xiaofang;CHEN Yanyan(Wenzhou Medical University,Zhejiang 325000 China)
出处
《护理研究》
北大核心
2023年第24期4357-4368,共12页
Chinese Nursing Research
基金
浙江省医院可持续发展扬子江研究项目,编号:2020ZHA⁃YZJ212。
关键词
出院准备度
日间手术
白内障
护患双方
影响因素
discharge readiness
day surgery
cataract
nurses and patients
influencing factor
