加速康复外科模式下肺癌术后患者出院准备度现状及影响因素分析

目的：了解加速康复外科模式下肺癌术后患者出院准备度，并分析其影响因素。方法：采用便利抽样法，对加速康复外科模式下的111例肺癌术后出院患者应用一般资料调查表、成人出院准备度量表进行问卷调查。结果：肺癌术后患者出院准备度总分为（163.36±14.35）分，不同年龄、婚姻状况、居住方式、职业的肺癌患者出院准备度总分比较，差异具有统计学意义（P<0.05）。多元回归分析显示年龄、婚姻状况、居住状况是肺癌术后患者出院准备度的主要影响因素（P<0.05）。结论：为提高加速康复外科模式下肺癌术后患者出院准备度水平，应根据年龄、婚姻状况及居住方式三个因素进行加速康复外科模式下肺癌术后患者的个体化术后恢复管理，以降低再入院率，节约医疗资源，提高患者术后生存质量。

Analysis on the current situation and influencing factors of the hospital discharge readiness of lung cancer patients after operation in the mode of enhanced recovery after surgery

Objective: To investigate the readiness for hospital discharge of postoperative patients with lung cancer following enhanced recovery after surgery(ERAS), and to analyze the influencing factors. Methods: A convenient sampling method was used to investigate 111 discharge patients after lung cancer surgery by general information questionnaire, the readiness for hospital discharge scale(RHDS) for adults. Results: The total score of RHDS was（163.36±14.35）. There were statistically significant different between different ages, marital status, way of living and occupation（P<0.05）. Multiple linear regression analysis showed that age, marital status, and living conditions were the main factors influencing the score of RHDS(P<0.05).Conclusion: In order to improve the level of RHDS of postoperative lung cancer in the mode of ERAS, multi-form health education should be adopted, and individualized recovery management for postoperative patients with lung cancer should be carried out according to the three factors of age, marital status and way of living to reduce the rate of readmission, save medical resources, and improve the quality of postoperative survival of patients.