主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (10): 1352-1357.doi: 10.3969/j.issn.1672-1756.2018.10.011

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慢性心力衰竭患者出院准备度水平及影响因素分析

程婧;黄丽;陈龙菊;许邦龙;王晓晨;何非   

  1. 安徽中医药大学护理学院，230012 合肥市 (程婧，黄丽)；安徽医科大学第二附属医院心血管内科（陈龙菊，许邦龙，王晓晨，何非）
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    2016年安徽省卫生计生委科研计划项目（2016QK017）

The readiness for hospital discharge and influencing factors in patients with Chronic Heart Failure

  • Online:2019-01-07 Published:2019-01-07

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摘要： 目的：分析影响慢性心力衰竭（CHF)患者出院准备度的因素。方法：调查316名CHF患者基本资料、出院准备度、出院指导质量以及自我护理指数，分析影响出院准备度的因素。结果：CHF患者出院准备度总分为（138.58±15.11)分，线性回归分析结果表明，首次住院、非医嘱出院、高龄、病程和出院带药多是出院准备度的不利因素，出院指导质量和自我护理指数也是出院准备度的影响因素。结论：CHF患者出院准备度水平较低，可通过提高出院指导质量和自我护理能力进行针对性干预。

关键词: 慢性心力衰竭；出院准备度；出院指导质量；自我护理指数

Abstract: Objective: To investigate the level of readiness for hospital discharge and the influencing factors in patients with Chronic Heart Failure (CHF). Methods: Totally 316 CHF patients were selected. Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale (QDTS)and Self-Care of Heart Failure Index (SCHFI) were applied. Results: The total score of readiness for hospital discharge was relatively low (138.58±15.11). Linear regression analysis revealed that first hospitalization, discharge reason, age, drugs, duration of disease, quality of discharge guidance, and self-care index were influencing factors of readiness for hospital discharge. Conclusion: The level of readiness for hospital discharge in CHF patients are quite low. Nursing care can improve patients quality of discharge and self-care ability in order to optimise the level of readiness for hospital discharge.

Key words: Chronic Heart Failure; readiness for hospital discharge; quality of discharge teaching; self-care index

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