脑卒中病人及其照顾者出院准备度现状调查及影响因素分析

    Status and influencing factors analysis of discharge readiness in stroke patients and their caregivers

    • 摘要:
      目的 调查脑卒中病人及其照顾者出院准备的现状,分析影响因素,为提供出院计划服务提供依据。
      方法 采用便利抽样的方法,选取神经内科130例脑卒中病人及其照顾者,在出院前分别使用出院准备度量表和照顾者准备度量表进行调查。
      结果 出院准备度总分与照顾者准备度之间呈现正相关关系(P<0.01),应对能力维度与照顾者准备度之间呈现正相关关系(P<0.01);回归分析显示,自行承担住院费用的主要来源、家庭人均收入、照顾者性别、照顾者婚姻状况、有无照顾经验,是病人出院准备度的影响因素(P<0.01);病人性别、家庭人均收入、照顾者文化程度、病人应对能力是照顾者准备度的影响因素(P<0.01)。
      结论 脑卒中病人及照顾者的准备度有待提高,应及时评估病人及照顾者的准备度水平,给予个性化的出院指导方案,以实现有效的出院过渡。

       

      Abstract:
      Objective To investigate the status of discharge readiness of stroke patients and their caregivers, analyze the possible influencing factors, and provide the basis for discharge planning services.
      Methods A total of 130 stroke patients and their caregivers were investigated with readiness for hospital discharge scale and caregiver readiness scale before discharge.
      Results There was a positive correlation between patients' discharge readiness and caregivers' readiness (P<0.01), and a positive correlation between coping capacity and caregiver readiness (P<0.01).According to the results of multiple regression analysis, the total scores of patients' readiness were significantly affected by the following factors: the main source of the costs for hospitalization, family monthly income, gender and marital status of caregivers and caregiving experience of caregivers (P<0.01), while another four factors, the gender of patients, family monthly income, education level and response capacity of caregivers, had strong influence on the total scores of caregivers' readiness (P<0.01).
      Conclusions The readiness of stroke patients and caregivers needs to be improved.It should be assessed in a timely manner of readiness levels of patients and caregivers, and the personalized discharge guidance program should be given to realize the effective discharge transition.

       

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