258例剖宫产妇出院准备度水平分析

doi:10.16460/j.issn1008-9969.2019.02.051

摘要/Abstract

摘要： 目的调查剖宫产妇出院准备度现状。方法采用便利抽样的方法,选取2016年9月—2017年12月于我院产科分娩的剖宫产妇258例作为调查对象。采用一般资料调查表、出院准备度量表对其进行问卷调查。结果 258例剖宫产妇的出院准备度总分为（171.07±28.32）分,单因素分析结果显示,不同产次、受教育程度、家庭年收入、护士健康宣教情况、出院后是否有人照顾、是否有并发症等的剖宫产妇,其出院准备度得分比较,差异均有统计学意义（P<0.05）。结论本组剖宫产妇出院准备度得分处于较高水平,建议产科护理人员重视对初产妇、受教育程度低、家庭年收入低、对护士健康宣教不满意、出院后无人照顾及有并发症的剖宫产妇的出院宣教,为其提供产褥期母婴护理的相关知识,鼓励其参加孕妇学校、加强分娩住院期的健康教育;鼓励产妇配偶及家属提供情感支持;指导产妇出院后如何进行自我护理以及注意事项。

关键词: 剖宫产妇, 出院准备度, 影响因素

Abstract: Objective To investigate the status of readiness for discharge among women with cesarean delivery. Methods We conducted a convenience sampling study and women with cesarean delivery from September 2016 to December 2017 were investigated by using the general information questionnaire and Readiness for Hospital Discharge Scale (RHDS). Results The total score of readiness for hospital discharge among women with cesarean delivery was 171.07±28.32. Univariate analysis showed that there were significant differences of readiness for hospital discharge among the cesarean delivery women with different parities, education background, annual household income, health education, whether having caregiver or not and whether with complications or not (P<0.05). Conclusion The readiness for hospital discharge in women with cesarean delivery was at a higher level. Great importance should be attached to the health education of primipara, women with lower education, lower annual household income, dissatisfaction with health education and those without caregivers and those with complications. More knowledge about maternal and child care during puerperium, participation in maternity schools, health education during the delivery, emotional support and discharge guidance will benefit the recovery of women with cesarean delivery.

Key words: cesarean delivery woman, readiness for hospital discharge, influencing factor

中图分类号:

R473.71

李丹莹. 258例剖宫产妇出院准备度水平分析[J]. 护理学报, 2019, 26(2): 51-54.

LI Dan-ying. Readiness for Discharge of 258 Women with Cesarean Delivery[J]. Journal of Nursing, 2019, 26(2): 51-54.

参考文献

[1] Fenwick A M.An Interdisciplinary Tool for Assessing Patients' Readiness for Discharge in the Rehabilitation Setting[J]. J Adv Nurs, 1979,4(1):9-21. DOI:10.1111/j.1365-2648.1979.tb02984.x.
[2] Schmocker R K, Holden S E, Vang X, et al.Association of Patient-reported Readiness for Discharge and Hospital Consumer Assessment of Health Care Providers and Systems Patient Satisfaction Scores: A Retrospective Analysis[J]. J Am Coll Surg, 2015, 221(6):1073-1082. DOI:10.1016/j.jamcollsurg.2015.09.009.
[3] 张晓岚,赵体玉.剖宫产妇围术期焦虑及干预方法研究进展[J].护理学报, 2011,18(7B):4-6. DOI:10.3969/j.issn.1008-9969.2011.14.002.
[4] 王阳,丁荣楣,马丽君,等.2012至2016年剖宫产率及手术指征的变化趋势分析[J]. 河北医药,2017,39(23):3656-3658.DOI:10.3969/j.issn.1002-7386.2017.23.039.
[5] Vogel J P, Betran A P, Vindevoghel N, et al.Use of the Robson Classification to Assess Caesarean Section Trends in 21 Countries: A Secondary Analysis of Two WHO Multicountry Surveys[J]. Lancet Glob Health, 2015, 3(5):e260-e270.DOI:10.1016/S2214-109X(15)70094-X.
[6] 刘娟,董晋,张春莉,等.产后出血原因及高危因素临床研究[J].陕西医学杂志, 2018,47(7):871-873.DOI:10.3969/j.issn.10007377.2018.07.017.
[7] 韩静,王洪侠,王强,等.延续护理对产褥期产妇心理状态及健康技能的影响[J].护理研究, 2016,30(9B):3266-3269.DOI:10.3969/j.issn.1009-6493.2016.26.022.
[8] 黄晓琳,莫福琴,欧子苗,等.466例喉癌术后患者出院准备度现状及影响因素分析[J]. 护理学报, 2018,25(9):44-47.DOI:10.16460/j.issn1008-9969.2018.09.044.
[9] Weiss M E, Piacentine L B, Lokken L, et al.Perceived Readiness for Hospital Discharge in Adult Medical-surgical Patients[J]. Clin Nurse Spec, 2007,21(1):31-42.DOI:10.1097/00002800-200701000-00008.
[10] Zhao H, Feng X, Yu R, et al.Validation of the Chinese Version of the Readiness for Hospital Discharge Scale on Patients Who Have Undergone Laryngectomy[J]. J Nurs Res, 2016,24(4):321-328.DOI:10.1097/jnr.0000000000000126.
[11] 李明士,葛兆霞,许玲.482例高血压患者出院准备度及影响因素分析[J].护理学报, 2018,25(16):34-38. DOI:10.16460/j.issn1008-9969.2018.16.034.
[12] 王芳,袁丽.骨质疏松症患者出院准备度与出院指导质量现状及相关性研究[J]. 护理学报, 2016,23(10):5-7. DOI:10.16460/j.issn1008-9969.2016.10.005.
[13] 周丹丹,何梅,于梦帆,等.产妇出院准备度现状及影响因素分析[J].中国护理管理, 2018,18(9):1262-1266. DOI:10.396%.issn.1672-1756.2018.09.024.
[14] 贾丹丹,马丽丽,杨绪影,等.192名产妇出院准备度与出院指导质量的相关性研究[J]. 护理学报, 2018,25(3):42-45.DOI:10.16460/j.issn1008-9969.2018.03.042.
[15] 吴小麦,关惠慈,李风光.三位一体健康宣教模式在改善产妇对新生儿护理知识掌握程度中的作用[J].护理实践与研究, 2016, 13(18):73-74.DOI:10.3969/j.issn.1672-9676.2016.18.035.

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