Correlation between patient activation and discharge readiness in patients with degenerated lumbar disorders after surgery
10.3760/cma.j.cn115682-20190908-03247
- VernacularTitle:腰椎退行性病变术后患者积极度与出院准备度的相关性分析
- Author:
Aiyuan ZOU
1
;
Lianhuan YANG
;
Xueyu CHEN
Author Information
1. 广东省中医院珠海医院骨三科 519000
- Keywords:
Lumbar;
Postoperative;
Degenerated lumbar disorders;
Patient activation;
Discharge readiness;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2020;26(16):2183-2187
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of current status of patient activation and discharge readiness in patients with degenerated lumbar disorders after surgery and to analyze their correlation.Methods:By the convenient sampling method, a total of 183 patients with degenerated lumbar disorders after surgery who were treated in Third Department of Orthopedics in Guangdong Province Hospital of Traditional Chinese Medicine, Zhuhai Hospital from January 2018 to December 2018 were selected. Patient Activation Measure (PAM) and Readiness for Hospital Discharge Scale (RHDS) were used to investigate them, and Pearson correlation analysis and multiple linear regression analysis were used to analyze the relationship between them.Results:The standardized PAM scores of 183 patients were (53.06±16.14) . Of which, 86 patients (47.0%) scored less than or equal to 47, 37 patients (20.2%) scored 47.1 to 55.1, 48 patients (26.2%) scored 55.2 to 67.0, 12 patients (6.6%) scored more than or equal to 67.1. The RHDS score of 183 patients was (92.10±10.43) and the standardized score was (7.68±1.87) . PAM scores in all dimensions were positively correlated with RHDS scores in all dimensions ( r=0.203-0.588, P<0.05) . Moreover, self-consciousness of disease management, knowledge of disease, postoperative prevention ability and belief in adhering to healthy life were all independent influencing factors of discharge readiness ( P<0.05) , which could explain 32.9% of variances. Conclusions:The patient activation and discharge readiness of patients with degenerated lumbar disorders after surgery still need to be improved, and good patient activation helps improve discharge readiness. Clinical medical staff should focus on cultivating patient activation so as to improve their self-management ability before discharge.
