当前位置:首页 / 肾移植受者的出院准备度现状及其影响因素
论著·临床研究 | 更新时间:2024-02-26
|
肾移植受者的出院准备度现状及其影响因素
Current status of discharge readiness for kidney transplantation recipients and its influencing factors

广西医学 2023第45卷23期 页码:2818-2824

作者机构:黄莹,在读硕士研究生,副主任护师,研究方向为器官移植。

基金信息:广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20230534)

DOI:10.11675/j.issn.0253-4304.2023.23.05

  • 中文简介
  • 英文简介
  • 参考文献

目的调查肾移植受者的出院准备度现状,并分析其出院准备度的影响因素。方法选取204例肾移植受者作为研究对象,采用一般资料调查表、出院准备度量表(RHDS)和出院指导质量量表(QDTS)进行调查。采用广义线性模型分析肾移植受者出院准备度的影响因素。结果肾移植受者的出院准备度总得分为(92.70±20.46)分,总标准化得分为(7.72±1.70)分,其中适应能力维度的标准化得分最高,个人状态维度的标准化得分最低。肾移植受者的RHDS总得分和QDTS总得分呈正相关(P<0.05)。广义线性模型分析结果显示,文化程度、居住地、住所至医院距离、家庭月收入、病程和QDTS总得分是肾移植受者RHDS总得分的影响因素(P<0.05)。结论肾移植受者的出院准备度处于中等水平,文化程度、居住地、住所至医院距离、家庭月收入、病程和出院指导质量可影响其出院准备度。护理人员应根据影响因素制订针对性的干预措施,以提高肾移植受者出院后的疾病管理能力,从而改善远期预后。

ObjectiveTo investigate the current status of discharge readiness for kidney transplantation recipients, and to analyze the influencing factors for their discharge readiness. MethodsA total of 204 kidney transplantation recipients were selected as the research subjects. Investigation was conducted by using the general information inventory, Readiness for Hospital Discharge Scale (RHDS), and Quality of Discharge Teaching Scale (QDTS). The influencing factors for discharge readiness for kidney transplantation recipients were analyzed by using the generalize linear model. ResultsThe total score of discharge readiness for kidney transplantation recipients was 92.70±20.46, and the total standardized score was 7.72±1.70, therein, the dimension of adaptability exhibited the highest standardized score and the dimension of personal status depicted the lowest standardized score. The total score of RHDS positively correlated with QDTS total score in kidney transplantation recipients (P<0.05). The results of generalize linear model analysis revealed that educational level, residence, distance from home to hospital, monthly household income, disease course, and QDTS total score were the influencing factors for RHDS total score in kidney transplantation recipients (P<0.05). ConclusionDischarge readiness for kidney transplantation recipients is at a medium level, educational level, residence, distance from home to hospital, monthly household income, disease course, and discharge teaching quality can affect their discharge readiness. Nursing staff should formulate targeted intervention strategies according to the influencing factors, thereby improving disease management ability of kidney transplantation recipients after discharge, so as to ameliorate long-term prognosis.

866

浏览量

150

下载量

0

CSCD

工具集