摘要
目的调查2型糖尿病(T2DM)患者出院准备度情况并对其影响因素进行分析研究。方法采用便利抽样法选取2022年3—12月在吴忠市人民医院内分泌科住院治疗的276例T2DM患者,采用出院准备度量表、出院指导质量表以及一般资料调查表进行调查,应用多元线性回归分析T2DM患者出院准备度的影响因素。结果T2DM患者的出院准备度总分为(85.43±18.52)分,条目均分为(7.12±1.54)分;患者的出院准备度与其出院指导质量呈正相关(P<0.05);年龄、受教育程度、居住方式、生活自理能力、服药种类、住院次数以及合并症种类不同的患者,出院准备度差异均有统计学意义(P均<0.05)。多元回归分析结果表明,年龄、受教育程度、居住方式、因T2DM住院次数、合并症种类、出院指导质量是T2DM患者出院准备度的主要影响因素(P均<0.05),可解释变异的39.8%。结论医护人员可从影响T2DM患者的出院准备度的主要因素着手,为其提供有效的出院指导和多元的支持系统,以提升患者及其家属的疾病自我管理能力,从而提高其出院准备度水平。
Objective To investigate the discharge readiness of type 2 diabetic patients(T2DM)and analyze its influencing factors.Methods From March to December 2022,276 patients with T2DM who were hospitalized in the Department of Endocrinology,Wuzhong People’s Hospital were selected by convenience sampling method.Discharge readiness scale,discharge guidance quality scale and general information questionnaire were used to investigate.Multiple linear regression analysis was used to analyze the influencing factors of discharge readiness of patients with T2DM.Results The total score of discharge readiness was(85.43±18.52),and the average score of all items was(7.12±1.54).The discharge readiness was positively correlated with the quality of discharge guidance(P<0.05).There were significant differences in discharge readiness among patients with different age,education level,living style,self-care ability,medication type,hospitalization times and complications(P all<0.05).Multiple regression analysis showed that age,education level,residence style,hospitalization times for patients with T2DM and types of complications,uality of discharge guidance could the main influencing factors of discharge readiness of patients withT2DM(P all<0.05),explaining 39.8%of the variance.Conclusion Medical staff can start from the main factors affecting the discharge readiness of patients with T2DM,and provide them with effective discharge guidance and multiple support systems,as well as to improve the self-management ability of patients and their families,so as to improve their discharge readiness.
作者
吴佳微
郭建忠
王学兰
魏丽芝
丁晓静
周亚茹
WU Jiawei;GUO Jianzhong;WANG Xuelan;WEI Lizhi;DING Xiaojing;ZHOU Yaru(Department of Endocrinology,Wuzhong People's Hospital,Wuzhong 751100,China)
出处
《宁夏医科大学学报》
2024年第10期1031-1036,共6页
Journal of Ningxia Medical University
基金
宁夏回族自治区卫生健康委员会科研项目(2021-NW-085)。
关键词
2型糖尿病
出院准备度
出院指导质量
延续性护理
type 2 diabetes
discharge readiness
quality of discharge guidance
continuous care
作者简介
吴佳微(1989-),女,主管护师,主要从事糖尿病护理管理。
