摘要
目的作为腹腔镜胆囊切除术后认可度较高的护理模式,延续护理尚未系统化和规范化,护理质量控制欠佳。本研究旨在了解该术术后患者对延续护理的需求现状,分析其影响因素,帮助护理人员计划实施规范和高效的延续护理。方法于2017-11-06-2018-02-25选取天津四家医院共150例患者,采用问卷法统计其对延续护理形式、内容和收费态度的需求,采用单因素方差分析和多元线性逐步回归进行影响因素分析。结果患者延续护理形式需求多样化,44.6%的患者希望在家庭得到延续护理,62.0%的患者希望由责任医生进行延续护理,内容需求总体平均得分为(73.07±1.62)分。单因素分析结果显示,性别(t=4.217,P<0.05)、年龄(t=4.475,P<0.05)、职业(F=4.612,P<0.05)、有无合并症(t=1.694,P<0.05)、填写问卷前是否了解延续护理概念(F=5.011,P<0.01)等为延续护理内容需求得分的影响因素。多元线性逐步回归分析结果显示,女性(t=3.904,P<0.001)、≥50岁(t=3.174,P=0.002)患者对延续护理需求程度更高。结论患者对延续护理的需求较高,对延续护理的提供者、形式、内容和费用态度多样化。应综合年龄和性别等因素,为患者提供规范化和个性化的延续护理模式。
OBJECTIVE As a nursing model with high recognition after laparoscopic cholecystectomy,the continuation of nursing has not been systematized and standardized,and the quality of care is poor.The purpose of this paper is to understand the current status of demands in patients undergoing postoperative care for continuation care,analyze the influencing factors,and help paramedics plan to implement standardized and efficient continuation care.METHODS A questionnaire was used to make a survey in a total of 150 patients from four hospitals in Tianjin from November 6,2017 to February 25,2018 to count their demands for continuing care forms,content,and charging attitudes.Counting data was expressed by frequency and composition ratio.The influencing factors were analyze by t test,one-way ANOVA and multiple linear regression.RESULTS The patients demanded for diversified forms in continuation of nursing.44.6% of patients hoped to receive continuation of nursing in the family,62.0%of patients expected continuation care was provided by a responsible doctor.And the overall average content demand score was(73.07±1.62)points.Univariate analysis showed that sex(t=4.217,P<0.05),age(t=4.475,P<0.05),occupation(F=4.612,P<0.05),presence or absence of complications(t=1.694,P<0.05),and whether the concept of continuing care was understood before filling out the questionnaire(F=5.011,P<0.01)were the influencing factors of the score of continuing nursing content needs.Multivariate linear stepwise regression analysis showed that women(t=3.904,P<0.001)and patients aged more than 50 years old(t=3.174,P=0.002)had higher demand for continuing care.CONCLUSIONS Patients have a higher demand for continuation of care and it diversifies in their attitudes towards providers,forms,content and costs of continuing care.A comprehensive and personalized continuous care model should be provided for patients by combining various factors such as age and gender.
引文
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