本文選題：冠心病 + 出院指導(dǎo)�。� 參考：《護(hù)理學(xué)雜志》2017年01期

【摘要】：目的了解冠心病患者出院指導(dǎo)質(zhì)量,為進(jìn)一步提高出院指導(dǎo)質(zhì)量,滿足患者出院后的康復(fù)需求提供參考。方法采用方便抽樣法抽取武漢市2所三級甲等醫(yī)院心血管內(nèi)科的冠心病患者324例,應(yīng)用一般資料調(diào)查表和出院指導(dǎo)質(zhì)量量表進(jìn)行調(diào)查。結(jié)果冠心病患者出院指導(dǎo)質(zhì)量總分為(136.36±31.81)分,需要的出院指導(dǎo)內(nèi)容總分為(42.04±14.29)分,獲得的出院指導(dǎo)內(nèi)容總分為(40.92±14.02)分,指導(dǎo)技巧及效果維度得分為(95.44±19.69)分,其得分最高的條目是"護(hù)士與其他健康工作者提供的信息一致";有無合并癥、住院時間與次數(shù)不同的冠心病患者出院指導(dǎo)質(zhì)量得分比較,差異有統(tǒng)計學(xué)意義(P0.05,P0.01);醫(yī)療付費(fèi)方式不同的冠心病患者需要的出院指導(dǎo)內(nèi)容得分差異有統(tǒng)計學(xué)意義,文化程度不同的冠心病患者獲得的出院指導(dǎo)內(nèi)容得分差異有統(tǒng)計學(xué)意義,獨(dú)居患者對指導(dǎo)技巧及效果的評價高于非獨(dú)居患者(P0.05,P0.01)。結(jié)論冠心病患者獲得的出院指導(dǎo)內(nèi)容基本可以滿足患者的需要,但出院指導(dǎo)技巧及效果仍有待提高。護(hù)理人員應(yīng)重視患者的心理護(hù)理,創(chuàng)新指導(dǎo)策略、重視細(xì)節(jié)指導(dǎo),并通過反復(fù)檢查確�；颊邔ο嚓P(guān)知識和技能的掌握,同時給予自我保健意識淡薄的患者更多關(guān)注。
[Abstract]:Objective to investigate the quality of discharge guidance for patients with coronary heart disease (CHD), and to provide reference for further improving the quality of discharge guidance. Methods A total of 324 patients with coronary heart disease in Department of Cardiovascular Medicine of 2 Grade 3A hospitals in Wuhan were selected by convenient sampling method and investigated with general information questionnaire and discharge guidance quality scale. Results the total score of discharge guidance quality was (136.36 鹵31.81), the total score of required discharge guidance content was (42.04 鹵14.29), the total score of discharged guidance content was (40.92 鹵14.02), the score of guidance skill and effect dimension was (95.44 鹵19.69). The items with the highest scores were "the same information provided by nurses and other health workers." the scores of patients with coronary heart disease with or without complications, with different length of stay and times of hospitalization, were compared in terms of the quality of discharge guidance. The difference was statistically significant (P0.05, P0.01), the scores of discharged guidance content of coronary heart disease patients with different medical payment methods were significantly different, and the scores of discharge guidance content of coronary heart disease patients with different education level had statistical significance. The evaluation of guidance skills and effects in patients living alone was higher than that in patients without living alone (P0.05 / P0.01). Conclusion the contents of discharge guidance obtained by patients with coronary heart disease can basically meet the needs of patients, but the skills and effect of discharge guidance still need to be improved. The nursing staff should pay attention to the psychological nursing of the patients, innovate the guiding strategies, attach importance to the detailed guidance, and make sure that the patients master the relevant knowledge and skills through repeated examination, and pay more attention to the patients with weak self-care consciousness at the same time.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院護(hù)理學(xué)院;華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬同濟(jì)醫(yī)院護(hù)理部;華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬同濟(jì)醫(yī)院研究生院;
【基金】：華中科技大學(xué)院系自主創(chuàng)新基金項目(2016YXMS161)
【分類號】：R473.5
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本文編號：2076249