摘要
目的探讨肝移植受者延续性护理需求及影响因素分析。方法 2013年10月-12月采用自行设计问卷对235例肝移植受者进行调查,了解其对延续性护理的需求,并就形成延续性护理需求的影响因素进行单因素χ2分析及二分类logistic回归分析。结果 130例(55.3%)受者需要延续性护理。单因素χ2分析结果表明:是否有并发症、是否再次住院、到达离家最近医疗机构的时间3项因素是被调查者是否希望进行延续性护理的主要因素(P<0.05)。二分类logistic回归分析结果示:受者到达离家最近医疗机构时间越长,其越希望获得延续性护理[OR=3.040,95%CI(1.585,5.829),P=0.001];术后1年再住院者对延续性护理的需求更低[OR=0.515,95%CI(0.292,0.907),P=0.022]。结论目前肝移植受者对延续性护理接受程度高。在延续性护理研究及实践中,应注重新模式和工具的开发,以缩短护患之间的时间、空间距离,满足肝移植受者个体化护理需求,提高生存质量。
Objective To explore the continuous care demands in liver transplant recipients and the influencing factors. Methods From October to December 2013, 235 liver transplant recipients were investigated with self-designed questionnaire to learn their continuous care demands. Factors affecting demands for continuous care were analyzed with single factor Chi square analysis and binary logistic regression analysis. Results A total of 130 recipients （55.3%） needed continuous care. Single factor chi-square analysis showed that three factors including complications, re-hospitalization and time to get to the nearest medical organization were significant for continuous care demands （P 〈 0.05）. Binary logistic regression analysis showed that the longer the time spent by liver transplant recipients to reach the nearest medical organization was, the more they hoped for continuous care [OR=3.040, 95%CI （1.585, 5.829）, P=0.001]; the patients with readmisson within one year after surgery hoped less continuous care [OR=0.515, 95%CI （0.292, 0.907）, P=0.022]. Conclusions At present, acceptance degree for continuous care in the liver transplant recipients is quite high. In the continuous care research and practice, we should develop new models and tools to shorten the time and distance between nurses and patients so as to meet the individualized care demands of the patients and improve their quality of life.
出处
《华西医学》
CAS
2015年第9期1720-1723,共4页
West China Medical Journal
关键词
肝移植
延续性护理
影响因素
Liver transplant
Continuous care
Influencing factors
