目的:探讨影响中国肠造口患者出院准备的因素。
方法:在此描述中,横断面研究,研究人员招募了在广东省一家三级医院接受肠造口术的结直肠癌患者,中国,通过2021年1月至2023年1月之间的便利采样。参与者完成了医院出院准备量表,造口术自我护理能力量表,出院时的Stoma-生活质量-中文问卷(中文版)。单变量,相关性,并进行多元线性回归分析,探讨自我护理能力的影响,生活质量,以及其他临床人口学特征对患者出院准备的影响。
结果:在分发的200份问卷中,177(88.5%)完成并包括在最终分析中。在这项研究中考虑的因素的中位数得分如下:医院出院量表的准备率为148.00(四分位距[IQR],117.50,164.00),造口自我护理能力量表的自我护理意愿为36.00(IQR,34.00,40.00),造口术自我护理能力量表的自我护理知识为17.00(IQR,15.00,19.00),造口术自我护理能力量表的自我护理技能为5.00(IQR,3.00,6.00),生活质量总分为60.00分(IQR,49.00,69.00)。多元线性回归分析确定了几个关键因素,解释了全球出院准备率差异的48.2%:全球生活质量(β=.347,P<.001),自我保健知识(β=.259,P<.001),住院期间渗漏(β=-0.241,P<.001),家庭月收入(β=.148,P=.008),术前造口选址(β=.130,P=.020),和自我护理意向(β=0.127,P=0.035)。
结论:本研究中接受肠造口术的患者出院准备率很高。生活质量等因素,自我保健知识,住院期间渗漏,家庭月收入,手术前造口选址,肠造口术后的自我护理意愿影响了患者的出院准备。因此,未来的研究应侧重于制定干预措施,以提高患者的出院准备率.
OBJECTIVE: To examine the factors influencing hospital discharge readiness among Chinese patients who have undergone
enterostomy.
METHODS: In this descriptive, cross-sectional study, researchers recruited patients with colorectal cancer who underwent
enterostomy at a tertiary hospital in Guangdong Province, China, via convenience sampling between January 2021 and January 2023. Participants completed the Readiness for Hospital Discharge Scale, Ostomy Self-care Ability Scale, and Stoma-Quality of Life-Chinese Questionnaire (Chinese version) at the time of hospital discharge. Univariate, correlation, and multiple linear regression analyses were performed to explore the impact of self-care ability, quality of life, and other clinicodemographic characteristics on patients\' readiness for hospital discharge.
RESULTS: Of the 200 questionnaires distributed, 177 (88.5%) were completed and included in the final analysis. The median scores for the factors considered in this study were as follows: Readiness for Hospital Discharge Scale was 148.00 (interquartile range [IQR], 117.50, 164.00), self-care intention of the Ostomy Self-care Ability Scale was 36.00 (IQR, 34.00, 40.00), self-care knowledge of the Ostomy Self-care Ability Scale was 17.00 (IQR, 15.00, 19.00), self-care skill of the Ostomy Self-care Ability Scale was 5.00 (IQR, 3.00, 6.00), and the total score for quality of life was 60.00 (IQR, 49.00, 69.00). Multiple linear regression analysis identified several key factors explaining 48.2% of the variance in global readiness for hospital discharge: global quality of life (β = .347, P < .001), self-care knowledge (β = .259, P < .001), leakage during hospitalization (β = -0.241, P < .001), monthly family income (β = .148, P = .008), stoma siting before surgery (β = .130, P = .020), and self-care intention (β = .127, P = .035).
CONCLUSIONS: The readiness for hospital discharge among patients undergoing
enterostomy in this study was high. Factors such as quality of life, self-care knowledge, leakage during hospitalization, monthly family income, stoma siting before surgery, and self-care intention after undergoing
enterostomy influenced the patients\' readiness for hospital discharge. Therefore, future studies should focus on developing interventions to enhance patients\' readiness for hospital discharge.