Current status and influencing factors of readiness for hospital discharge of patients with coronary heart disease after percutaneous coronary intervention
10.3760/cma.j.cn211501-20191129-03528
- VernacularTitle:冠心病经皮冠状动脉介入治疗术后患者出院准备度现状及影响因素分析
- Author:
Feng LIU
1
;
Fen XU
;
Jing REN
;
Qingfang TANG
;
Silin ZHENG
Author Information
1. 西南医科大学附属医院心血管内科，泸州 646000
- From:
Chinese Journal of Practical Nursing
2020;36(20):1547-1553
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of readiness for hospital discharge of patients with coronary heart disease after percutaneous coronary intervention(PCI)and analyze the main factors affecting readiness for hospital discharge.Methods:With a cross-sectional survey method, a total of 343 patients with coronary heart disease after PCI in the Affiliated Hospital of Southwest Medical University were selected by convenience sampling method and investigated by General Information Questionnaire, Readiness for Hospital Discharge Scale, Care Transitions Measure and Self-Efficacy Questionnaire of coronary heart disease. Multiple linear regression analysis was used to analyze the influence factors.Results:The total score of Readiness for Hospital Discharge Scale of patients with coronary heart disease after PCI was 94.33±8.67. The score of quality of care transitions was 47.59±5.51 and that of self-efficacy was 39.19±8.08. Multiple linear regression analysis showed that five variables including self-efficacy, length of hospital stay, marital status, residence and family history of coronary heart disease entered into the regression equation ( P<0.01), which could explain 50.0% of the variations of readiness for hospital discharge. Conclusions:The readiness for hospital discharge of patients with coronary heart disease after PCI is at the middle level. The main influencing factors are self-efficacy, length of hospital stay, marital status,residence and family history of coronary heart disease. Nurses should attach importance to the self-efficacy of patients and pay attention to high-risk groups. By improving patients′ self-efficacy and giving targeted guidance ahead, in order to improve patients′ perception of readiness for hospital discharge.
