在泰国中风患者中开发医院出院准备度评估工具
Nuengruethai Posri1, Boonjai Srisatidnarakul1, Ronald L Hickman2
1Faculty of Nursing, Thammasat University, Pathumthani, Thailand.
Belitung nursing journal
|July 31, 2023
概括
一个新的评估工具有助于确定中风患者在泰国准备好退院的情况. 这种经过验证的仪器准确地预测了再入院,改善了患者的护理过渡.
科学领域:
- 医疗保健研究的研究.
- 护理实践的护理实践
- 康复医学是康复的医学.
背景情况:
- 将中风患者从医院转移到家中带来了重大挑战.
- 不充分的出院准备可以导致病人的病情恶化和高的再入院率.
- 现有的排放准备工具不适合泰国环境.
研究的目的:
- 为泰国中风患者开发和验证一个文化上适当的医院出院准备度评估工具.
主要方法:
- 该研究涉及广泛的文献审查,五位专家的内容有效性评估和30名参与者的试点测试.
- 对348名中风患者进行了实地测试.
- 内容有效性指数 (CVI),Cronbach的alpha,项目间相关性和多重后勤回归被用来评估该工具的有效性和可靠性.
主要成果:
- 开发的评估工具显示出良好的有效性和可靠性,项目内容有效性指数 (I-CVI) 为0.85,Cronbach的alpha为0.94.
- 经过调整的项目总相关性在0.43至0.86.6之间.
- 多重后勤回归确定了9个影响30天再入院的重要变量,包括意识水平,口头反应,运动能力,视野,失足症,移动性,自我养,洗和膀控制.
结论:
- 开发的医院出院准备评估工具在泰国是有效和可靠的.
- 这种工具使医疗保健提供者,特别是护士,能够更准确地评估中风患者的出院准备.
- 准确的评估可以更好地预测医院再入院情况,并改善患者的治疗结果.
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