老年日间手术患者延续护理需求现状及影响因素研究

doi:10.3761/j.issn.0254-1769.2022.21.010

摘要/Abstract

摘要：

目的调查老年日间手术患者的延续护理需求现状，并分析其影响因素。方法 2020年11月—12月，采用便利抽样法选取上海市2所三级甲等医院的289例老年日间手术患者作为调查对象，采用一般资料调查表、老年日间手术患者延续护理需求评估问卷对其进行调查。结果老年日间手术患者对延续护理的需求程度较高，得分为（88.92±14.59）分。其中，各维度的需求得分按条目均分从高到低依次为：健康教育需求、医疗沟通与支持需求、服务方式需求、社会支持需求、心理护理需求。合并其他疾病种类、家庭人均月收入、婚姻状况、就诊科室是延续护理需求情况的影响因素（P<0.05）。结论老年日间手术患者对延续护理的需求程度较高，其需求情况受多种因素影响。护理人员应基于患者的实际需求，完善延续护理方案，从而为不同特征的老年日间手术患者提供针对性的延续护理服务。

关键词: 日间手术, 老年人, 延续护理需求, 围手术期护理, 影响因素分析

Abstract:

Objective To investigate the current situation of transitional care needs of elderly patients undergoing ambulatory surgery and analyze its influencing factors. Methods A total of 289 elderly patients undergoing ambulatory surgery were recruited from 2 tertiary A hospitals in Shanghai by convenience sampling method. They were investigated with the general information questionnaire and the questionnaire for assessing the transitional care needs of elderly patients undergoing ambulatory surgery. Results Elderly patients undergoing ambulatory surgery had a high degree of transitional care needs with a score of（88.92±14.59）. The dimensions were sorted from high to low according to the average score of the items：health education needs，medical communication and support needs，service mode needs，social support needs，and psychological care needs. The types of other combined diseases，per capita family monthly income，marital status，and the clinical departments visited by patients were the influencing factors of the transitional care needs（P<0.05）. Conclusion Elderly patients undergoing ambulatory surgery have a high degree of transitional care needs，and their needs are associated with many factors. Nurses should improve the transitional care program for ambulatory surgery based on the actual needs of patients，so as to provide targeted transitional care services for elderly patients undergoing ambulatory surgery with different characteristics.

Key words: Ambulatory Surgery, Aged, Transitional Care Needs, Perioperative Nursing, Root Cause Analysis

沈蓝君, 夏露, 程云. 老年日间手术患者延续护理需求现状及影响因素研究[J]. 中华护理杂志, 2022, 57(21): 2622-2628.

SHEN Lanjun, XIA Lu, CHENG Yun. Current situation and influencing factors of transitional care needs of elderly patients undergoing ambulatory surgery[J]. Chinese Journal of Nursing, 2022, 57(21): 2622-2628.

图/表 5

表1 调查对象的一般资料及老年日间手术患者延续护理需求的单因素分析（n=289）

Table 1 The general information of the respondents and univariate analysis of transitional care needs of elderly patients undergoing ambulatory surgery（n=289）

表2 老年日间手术患者延续护理需求各维度得分情况（n=289，分，$\bar{x} \pm s$）

Table 2 The scores of each dimension of transitional care needs of elderly patients undergoing ambulatory surgery（n=289，score，$\bar{x} \pm s$）

表3 老年日间手术患者延续护理需求得分最高的5个条目和最低的5个条目（n=289，分，$\bar{x} \pm s$）

Table 3 The scores of 5 highest and lowest items of transitional care needs of elderly patients undergoing ambulatory surgery（n=289，score，$\bar{x} \pm s$）

表4 自变量赋值方式

Table 4 Independent variable assignment

表5 老年日间手术患者延续护理需求的多元线性逐步回归分析结果（n=289）

Table 5 Results of multiple linear stepwise regression analysis of transitional care needs of elderly patients undergoing ambulatory surgery（n=289）

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