退院教学质量与退院后肺癌患者应对困难之间的关联:连锁调解模型
Minghui Wang1, Hailing Tu1, Jingfang Hong1
1School of Nursing, Anhui Medical University, Hefei 230032, China.
Current oncology (Toronto, Ont.)
|August 27, 2025
概括
改善肺癌患者的出院教学提高了他们的自我效能和出院准备. 这样可以减少退学后的应对困难和计划外的再接收.
科学领域:
- 癌症护理
- 患者的康复
- 健康心理学
背景情况:
- 退院后应对困难显著影响肺癌幸存者的生活质量,并增加了再入院率.
- 有效的出院计划对于从医院顺利过渡到家庭护理至关重要.
- 了解影响出院后调整的因素对于改善患者的结果至关重要.
研究的目的:
- 研究自我效能和准备出院的连锁中介效应.
- 检查退院教学质量与肺癌患者退院后应对困难之间的关系.
- 确定减轻该患者群体退院后挑战的策略.
主要方法:
- 一项涉及358名术后肺癌患者的横截面研究.
- 使用经过验证的尺度来衡量出院教学的质量,自我效能,准备出院以及应对困难.
- 使用结构方程建模来分析直接和间接的影响.
主要成果:
- 直接和消极地预测出院后应对困难的出院教学质量 (β = -0.154,p < 0.05).
- 观察到一个显著的连锁调解效应:放出教学通过自我效能和准备放出影响了应对困难 (β = -0.040,p = 0.001).
- 患者报告出院后平均应对困难得分为34. 32±10. 00.
结论:
- 优质的退院教学对于减少肺癌患者退院后应对困难至关重要.
- 通过有针对性的教学策略提高患者的自我效能和出院准备度是关键干预措施.
- 医疗保健提供者应优先考虑全面的退院教育,以改善患者的康复和减少再入院.
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