Status and influencing factors of discharge readiness in cancer patients

doi:10.3760/cma.j.issn.1007-1245.2022.05.033

Abstract

Abstract: Objective　To investigate the status of discharge readiness in cancer patients, analyze the influencing factors, and improve cancer patients' discharge readiness. Methods　Two hundred and nineteen cancer patients hospitalized in Cancer Hospital, Medical College, Shantou University from July to September 2020 were selected by the convenient sampling method as the research objects. The general data questionnaire, Readiness for Hospital Discharge Scale (RHDS), and EORTC QLQ-C30 Scale were used to investigate the patients on the day of discharge, so as to analyze the status of discharge readiness and its influencing factors. Kruskal-Wallis H test, Mann-Whitney test, and Spearman correlation analysis were used. Results　The total score of RHDS was 93 (81, 100), and the score of general health of quality of life was 66.7 (50.0,75.0). The results of correlation analysis showed that the total score of RHDS was positively correlated with the score of general health of quality of life (r=0.267, P<0.01), and negatively with the score of fatigue (r=-0.408, P<0.01). The score of general health of quality of life was positively correlated with the score of personal status (r=0.460, P<0.01). The score of role function was positively correlated with the score of adaption (r=-0.342, P<0.01). The economic hardship was negatively correlated with anticipatory support (r=-0.337, P<0.01). Multiple linear regression analysis showed that the independent influencing factors of the cancer patients' discharge readiness were age, fatigue symptoms, and general health (all P<0.05). Conclusions　Nursing staff should pay attention to the evaluation of discharge readiness in cancer patients and take individualized measures to improve their quality of life and discharge readiness.

Key words: Cancer patients, Discharge readiness, Quality of life, Influencing factors

摘要： 目的　调查癌症患者出院准备度现状，并分析其影响因素，以期提高癌症患者的出院准备度水平。方法　采用方便抽样法抽取2020年7月至9月在汕头大学医学院肿瘤医院住院治疗的癌症患者219例作为研究对象，采用一般资料问卷、出院准备度量表和癌症患者生活质量量表（QLQ-C30）于患者出院当天进行调查，并分析出院准备度现状及其影响因素。采用Kruskal-Wallis H、曼-惠特尼、Spearman相关分析。结果　出院准备度总分为93（81，100）分，生活质量总体健康领域分数为66.7（50.0，75.0）分。相关分析结果表明，出院准备度总分与总体健康状况领域呈正相关（r=0.267，P<0.01）；与疲倦领域得分呈负相关（r=-0.408，P<0.01）；总体健康状况和个人状态领域得分呈正相关（r=0.460，P<0.01）；角色领域与适应能力领域得分呈正相关（r=-0.342，P<0.01）；经济困难状况与预期性支持呈负相关（r=-0.337，P<0.01）。多重线性回归分析显示，癌症患者的年龄、疲倦症状和总体健康是出院准备度总分的独立影响因素（均P<0.05）。结论　护理人员应重视癌症患者出院准备度的评估，采取个性化措施，改善患者的生活质量和提高患者的出院准备度水平。

关键词: 癌症患者, 出院准备度, 生活质量, 影响因素

Xu Wanzhu, Luo Zebin, Chen Chujun, Wang Peiru, Hong Lichun. Status and influencing factors of discharge readiness in cancer patients[J]. International Medicine and Health Guidance News, 2022, 28(5): 734-739.

许婉珠, 罗泽槟, 陈楚君, 王沛如, 洪丽纯. 癌症患者的出院准备度现状及影响因素分析[J]. 国际医药卫生导报, 2022, 28(5): 734-739.

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