收稿日期: 2023-08-20
网络出版日期: 2023-12-11
基金资助
国家重点研发计划课题(2020YFC2008500);广东省医学科研基金项目(C2021003)
Application of evidence⁃based standardized hospital discharge preparation service in elderly patients
Received date: 2023-08-20
Online published: 2023-12-11
目的 探究出院准备服务在心血管疾病老年共病患者中的应用效果。 方法 采用本中心老年医学病区的97例心血管疾病老年共病患者作为研究对象，通过便利采样的方式分为观察组（48例）及对照组（49例），比较两组中心血管疾病老年共病患者出院准备度、出院指导质量、自我管理能力、并发症发生率及非计划再入院率等各项评价指标。 结果 与对照组相比，采用出院准备服务的观察组的出院准备度量表中个人状态、适应能力和预期性支持3个维度均显著升高（P < 0.05）；出院指导质量量表中患者需要的内容、获得的内容、指导技巧及效果3个维度均升高（P < 0.05）；观察组的自我管理能力评价量表中患者健康的生活方式、遵医嘱用药以及定期复查依从性3个维度均较对照组升高（P < 0.05），患者相关并发症发生率及非计划再入院率较对照组下降（P < 0.05）。 结论 实施出院准备服务能显著提升心血管疾病老年共病患者出院准备度及自我管理能力、护士出院指导质量，并有效降低患者出院后并发症发生率及非计划再入院率，具有良好的应用前景。
王小霞 , 黄巧 , 彭闵 , 申铁梅 . 心血管疾病老年共病患者出院准备服务的应用效果[J]. 实用医学杂志, 2023 , 39(22) : 3005 -3009 . DOI: 10.3969/j.issn.1006-5725.2023.22.026
Objective To explore the application effect of hospital discharge preparation service in elderly cardiovascular disease patients with comorbidity. Methods A total of 97 elderly cardiovascular disease patients with comorbidity in the geriatric ward of our center were selected as the study objects and divided into observation group （48 cases） and control group （49 cases）. The discharge readiness， discharge guidance quality， self-management capacity， complication rate and readmission rate of elderly cardiovascular disease patients with comorbidity were compared between these two groups. Results Compared with the control group， the three dimensions of personal status， adaptive ability and anticipatory support in the Readiness for Hospital Discharge Scale of the observation group significantly increased （P < 0.05）. The three dimensions of patients' needs， acquired contents， guidance skills and effects in the Quality of Discharge Teaching Scale also increased （P < 0.05）. Moreover， the three dimensions of the self-management ability evaluation scale of patients in the observation group were higher than those in the control group （P < 0.05）， and the complication rate and the readmission rate of patients were lower than the control group （P < 0.05）. Conclusion Discharge preparation service significantly improved the discharge readiness， self-management ability of elderly cardiovascular disease patients with comorbidity， the discharge guidance quality， and reduced the complication rate as well as the readmission rate of patients， which indicated the bright perspective of discharge preparation service in elderly cardiovascular disease patients with comorbidity.
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