胡琪：研究设计、数据收集与分析、论文撰写；李恬慧、曹玉萍、连桂贤：数据收集、数据分析；吴彦烁、尹彦玲：研究指导、论文修改
收稿日期: 2025-09-30
网络出版日期: 2026-06-02
基金资助
河北省医学科学研究课题基金项目(20250111)
The readiness for discharge of patients after acute aortic dissection surgery and its correlation with post-discharge quality of life
Received date: 2025-09-30
Online published: 2026-06-02
Supported by
Medical Science Research Project Foundation of Hebei Province(20250111)
目的 调查急性主动脉夹层术后患者出院准备度现状，分析其影响因素，并探讨其与出院后生活质量的关系。 方法 采用便利抽样法，选取2024年1月—2025年3月在河北省某三级甲等医院心脏血管外科接受急诊手术治疗的急性主动脉夹层患者为研究对象。选用一般资料调查表、出院准备度量表、出院指导质量量表在患者出院前24 h内对其进行调查。并在患者出院后30 d和90 d通过电话随访的方式，应用简明健康调查量表评估其生活质量。 结果 共纳入206例患者，出院准备度得分为（166.84±31.29）分，条目均分为（7.58±1.42）分，为中等准备状态。多元线性回归分析结果显示，文化程度、出院指导质量、手术方式是出院准备度的影响因素（P<0.05）。相关性分析结果显示，出院准备度与出院后30 d及90 d的生活质量均呈正相关（P<0.05）。结论 急性主动脉夹层术后患者的出院准备度有待提高，受文化程度、出院指导质量及手术方式的影响，提高患者出院准备度有助于改善其生活质量。
胡琪 , 李恬慧 , 曹玉萍 , 连桂贤 , 吴彦烁 , 尹彦玲 . 急性主动脉夹层术后患者出院准备度及其与出院后生活质量的关系[J]. 中华急危重症护理杂志, 2026 , 7(6) : 672 -678 . DOI: 10.3761/j.issn.2096-7446.2026.06.005
Objective To investigate the current status of discharge readiness in patients after surgery for acute aortic dissection，analyze its influencing factors，and explore its correlation with the quality of life after discharge. Methods By the convenient sampling method，patients with acute aortic dissection who underwent emergency surgery in the Department of Cardiothoracic and Vascular Surgery of a Grade Ⅲ Class A hospital in Hebei Province from January 2024 to March 2025 were selected as the research subjects. A general information questionnaire，Discharge Readiness Scale and Quality of Discharge Teaching Scale were used to conduct investigations on the patients within 24 hours before discharge. Short Form Health Survey Scale was adopted to evaluate the patients’ quality of life via telephone follow-up at 30 days and 90 days after discharge. Results A total of 206 patients were enrolled in the study，with the discharge readiness score of（166.84 ± 31.29），the average score of（7.58±1.42）points，indicating a moderate level of readiness. The results of multiple linear regression analysis showed that educational level，quality of discharge teaching and surgical method were the influencing factors of discharge readiness（P<0.05）. Pearson correlation analysis indicated that discharge readiness was positively correlated with the quality of life at 30 days and 90 days after discharge（P<0.05）. Conclusion The discharge readiness of patients after surgery for acute aortic dissection needs to be improved，which is affected by educational level，quality of discharge teaching and surgical method. Improving patients’ discharge readiness is conducive to enhancing their quality of life after discharge.
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