退院後の肺がん患者における退院後の対処の難しさと退院後の教育の質との関連:連鎖調停モデル
Minghui Wang1, Hailing Tu1, Jingfang Hong1
1School of Nursing, Anhui Medical University, Hefei 230032, China.
Current oncology (Toronto, Ont.)
|August 27, 2025
まとめ
肺がん患者の退院指導の改善は 患者の自己効能と退院の準備を高めます 退院後の対処の困難や 予定外の再入院を減らすことができます
科学分野:
- 腫瘍 介護
- 患者 の 回復
- 健康心理学
背景:
- 退院後の対処の難しさは 肺がんの生存者の生活の質に大きく影響し 再入院率を高めます
- 病院から自宅でのケアへの 円滑な移行には 効果的な退院計画が不可欠です
- 退院後の調整に影響を与える要因を理解することは 患者の成果を改善するために不可欠です
研究 の 目的:
- 自己効能と退院準備の連鎖メディエーション効果を調査する.
- 退院後の治療の質と肺がん患者の対処の困難との関係を調べる.
- この患者集団における退院後の課題を緩和するための戦略を特定する.
主な方法:
- 術後の肺がん患者358人を対象とした横断研究.
- 退院教育の質,自己効能,退院準備,対処困難を測るための検証されたスケールを使用しました.
- 直接的・間接的な効果を分析するために構造式モデルを使用した.
主要な成果:
- 放出後の対処の困難を直接と否定的に予測した放出後の教育の質 (β = -0.154,p < 0.05).
- 有意な連鎖メディエーション効果が観察された:放出の指導は,自己効能と放出の準備によって対処困難に影響を与えた (β = -0.040,p = 0.001).
- 患者は退院後の平均の対処難度スコアを 34. 32 ± 10. 00 と報告した.
結論:
- 肺がん患者の退院後の対処困難を軽減するために,質の高い退院教育が不可欠です.
- 患者の自己効能と退院の準備を ターゲットを絞った教育戦略で向上させることが 重要な介入です
- 医療提供者は 患者の回復を改善し 再入院を減らすために 総合的な退院教育を優先すべきです
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