大疱性类天疱疮病人出院准备度现状及其影响因素的相关研究
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摘要
[目的]了解大疱性类天疱疮病人出院准备度现状,并分析其影响因素,为提高大疱性类天疱疮病人出院准备度提供理论依据。[方法]采用病人一般资料量表和出院准备度量表对我院皮肤科126例大疱性类天疱疮病人进行调查。[结果]病人出院准备度条目得分为(6.82±1.19)分。出院准备度各维度评分从高到低依次为预期性支持、个人状态和适应能力。合并症种类、是否有口腔黏膜糜烂与溃疡为出院准备度的主要影响因素(P<0.05);在各维度的研究中,疾病严重程度指数、年龄是个人状态的影响因素(P<0.05);年龄、文化程度、疾病严重程度指数、合并症种类是适应能力的影响因素(P<0.05);疾病严重程度指数是预期性支持的影响因素(P<0.05)。[结论]大疱性类天疱疮病人出院准备度有待提高,医护人员应重视病人住院期间的出院准备度工作,针对具体情况,给予健康指导和护理措施,提高病人的出院准备度。
Objective:To understand the status quo of discharge readiness of patients with bullous pemphigoid and to analyze the influencing factors,in order to provide a theoretical basis for improving the readiness of patients with bullous pemphigoid.Methods:A total of 126 patients with bullous pemphigoid in Dermatology of our hospital were investigated with the General Information Scale and Discharge Readiness Scale.Results:The patient's readiness for hospital discharge was(6.82±1.19).The grades of readiness for discharge were ranked in descending order of expected support,personal status,and adaptive ability.Type of comorbidities,whether the oral erosion and ulceration or not were the main factors influencing discharge readiness(P<0.05).In the study of all dimensions,disease severity index and age were affecting factors of individual status(P<0.05).Age,education level,disease severity index,and type of comorbidities were the influencing factors of adaptive ability(P<0.05).The disease severity index was the influencing factor of the predictive support(P<0.05).Conclusions:The discharge readiness of patients with bullous pemphigoid remained to be improved.The medical staff should pay attention to the patient's discharge readiness during hospitalization,and provide health guidance and nursing measures for the specific case,in order to improve the patient's discharge readiness.
Objective:To understand the status quo of discharge readiness of patients with bullous pemphigoid and to analyze the influencing factors,in order to provide a theoretical basis for improving the readiness of patients with bullous pemphigoid.Methods:A total of 126 patients with bullous pemphigoid in Dermatology of our hospital were investigated with the General Information Scale and Discharge Readiness Scale.Results:The patient's readiness for hospital discharge was(6.82±1.19).The grades of readiness for discharge were ranked in descending order of expected support,personal status,and adaptive ability.Type of comorbidities,whether the oral erosion and ulceration or not were the main factors influencing discharge readiness(P<0.05).In the study of all dimensions,disease severity index and age were affecting factors of individual status(P<0.05).Age,education level,disease severity index,and type of comorbidities were the influencing factors of adaptive ability(P<0.05).The disease severity index was the influencing factor of the predictive support(P<0.05).Conclusions:The discharge readiness of patients with bullous pemphigoid remained to be improved.The medical staff should pay attention to the patient's discharge readiness during hospitalization,and provide health guidance and nursing measures for the specific case,in order to improve the patient's discharge readiness.
引文
[1]刘景业,尹莉,尹志强,等.45例大疱性类天疱疮初次住院患者临床回顾性分析[J].实用皮肤病学杂志,2015,8(4):253-256.
[2]Fenwick AM.An interdisciplinary tool for assessing patients readiness for discharge in the rehabilitation setting[J].J Adv Nurs,1979,4(1):9-21.
[3]Weiss ME,Piacentine LB,Lokken L,et al.Perceived readiness for hospital discharge in adult medical-surgical patients[J].Clin Nurs Spec,2007,21(1):31-42.
[4]Titler MG,Pettit DM.Discharge readiness assessment[J].J Cardiov Nurs,1995,9(4):64-74.
[5]Weiss ME,Lokken L.Predictors and outcomes of postpartum mothers'perceptions of readiness for discharge after birth[J].J Obstet Gynecol Neonatal Nurs,2009,38(4):406-417.
[6]Lin YH,Kao CC,Huang AM,et al.Psychometric testing of the Chinese version of the Readiness for Hospital Discharge Scale[J].J Nurs,2014,61(4):56-65.
[7]赵辨.中国临床皮肤病学[M].4版.北京:人民卫生出版社,2010:164-166.
[8]张学军.皮肤性病学[M].8版.南京:江苏科学技术出版社,2013:843-845.
[9]Marianne E,Weiss ME,Linda B.Psychometric properties of the Readiness for Hospital Discharge Scale[J].J Nurs Meas,2006,14(3):163-178.
[10]Lerret SM,Weiss ME.How ready are they?Parents of pediatric solid organ transplant recipients and the transition from hospital to home following transplant[J],Pediatr Trans,2011,15(6):606-616.
[11]孙振球,徐勇勇.医学统计学[M].3版.北京:人民卫生出版社,2010:583.
[12]王冰华,汪辉,杨纯子,等.冠心病患者出院准备度现状及其影响因素的研究[J].中华护理杂志,2017,52(2):138-143.
[13]权哲,骆肖群,黃慧媛,等.天疱疮和类天疱疮患者生活质量评定及影响因素分析[J].中国皮肤性病学杂志,2010,24(10):919-923.
[14]Morel P,Guillaume JC.Treatment of bullous pemphigoid with prednisolone only:0.75 mg/kg/day versus 1.25 mg/kg/day:a multicenter randomized study[J].Ann Dermatol Venereol,1984,111(10):925-928.
[15]Roujeau JC,Lok C,Bastuji-Garin S,etal.High risk of death in elderly patients with extensive bullous pemphigoid[J].Arch Dermatol,1998,134(4):456-469.
[16]Thomas TP.The complications of systemic corticosteroid therapy in the elderly:a retrospective study[J].Gerontology,1984,30(1):60-65.
[17]刘艺迪,赵文玲,左亚刚,等.大疱性类天疱疮与神经系统疾病相关性研究进展[J].中华老年多器官疾病杂志,2016,15(8):633-636.
[18]席淑华,赵继军,赵建华.成功大学附属医院出院准备服务概况与启示[J].中华护理杂志,2007,42(4):341-342.
[19]Cordel N,Chosidow O,Hellot MF,et al.Neurological disorders in patients with bullous pemphigoid[J].Dermatology,2007,215(3):187-191.
[20]Jedlickova H,Hlubinka M,Pavlik T,et al.Bullous pemphigoid and internal diseases-A case-control study[J].Eur J Dermatol,2010,20(1):96-101.
[21]陈大伟,刘炜,陈晋文,等.老年人大疱性类天疱疮与内科疾病关系的研究[J].中国临床保健杂志,2011,14(1):5-7.
[2]Fenwick AM.An interdisciplinary tool for assessing patients readiness for discharge in the rehabilitation setting[J].J Adv Nurs,1979,4(1):9-21.
[3]Weiss ME,Piacentine LB,Lokken L,et al.Perceived readiness for hospital discharge in adult medical-surgical patients[J].Clin Nurs Spec,2007,21(1):31-42.
[4]Titler MG,Pettit DM.Discharge readiness assessment[J].J Cardiov Nurs,1995,9(4):64-74.
[5]Weiss ME,Lokken L.Predictors and outcomes of postpartum mothers'perceptions of readiness for discharge after birth[J].J Obstet Gynecol Neonatal Nurs,2009,38(4):406-417.
[6]Lin YH,Kao CC,Huang AM,et al.Psychometric testing of the Chinese version of the Readiness for Hospital Discharge Scale[J].J Nurs,2014,61(4):56-65.
[7]赵辨.中国临床皮肤病学[M].4版.北京:人民卫生出版社,2010:164-166.
[8]张学军.皮肤性病学[M].8版.南京:江苏科学技术出版社,2013:843-845.
[9]Marianne E,Weiss ME,Linda B.Psychometric properties of the Readiness for Hospital Discharge Scale[J].J Nurs Meas,2006,14(3):163-178.
[10]Lerret SM,Weiss ME.How ready are they?Parents of pediatric solid organ transplant recipients and the transition from hospital to home following transplant[J],Pediatr Trans,2011,15(6):606-616.
[11]孙振球,徐勇勇.医学统计学[M].3版.北京:人民卫生出版社,2010:583.
[12]王冰华,汪辉,杨纯子,等.冠心病患者出院准备度现状及其影响因素的研究[J].中华护理杂志,2017,52(2):138-143.
[13]权哲,骆肖群,黃慧媛,等.天疱疮和类天疱疮患者生活质量评定及影响因素分析[J].中国皮肤性病学杂志,2010,24(10):919-923.
[14]Morel P,Guillaume JC.Treatment of bullous pemphigoid with prednisolone only:0.75 mg/kg/day versus 1.25 mg/kg/day:a multicenter randomized study[J].Ann Dermatol Venereol,1984,111(10):925-928.
[15]Roujeau JC,Lok C,Bastuji-Garin S,etal.High risk of death in elderly patients with extensive bullous pemphigoid[J].Arch Dermatol,1998,134(4):456-469.
[16]Thomas TP.The complications of systemic corticosteroid therapy in the elderly:a retrospective study[J].Gerontology,1984,30(1):60-65.
[17]刘艺迪,赵文玲,左亚刚,等.大疱性类天疱疮与神经系统疾病相关性研究进展[J].中华老年多器官疾病杂志,2016,15(8):633-636.
[18]席淑华,赵继军,赵建华.成功大学附属医院出院准备服务概况与启示[J].中华护理杂志,2007,42(4):341-342.
[19]Cordel N,Chosidow O,Hellot MF,et al.Neurological disorders in patients with bullous pemphigoid[J].Dermatology,2007,215(3):187-191.
[20]Jedlickova H,Hlubinka M,Pavlik T,et al.Bullous pemphigoid and internal diseases-A case-control study[J].Eur J Dermatol,2010,20(1):96-101.
[21]陈大伟,刘炜,陈晋文,等.老年人大疱性类天疱疮与内科疾病关系的研究[J].中国临床保健杂志,2011,14(1):5-7.