Abstract:

Objective To investigate the current situation and influencing factors of transitional care needs of patients after surgery for aortic dissection，with a view to developing an optimal continuity of care practice program for patients. Methods Using convenience sampling，222 patients after surgery for aortic dissection who were about to be discharged from the Department of Cardiovascular Surgery of a tertiary class A general hospital in Wuhan，Hubei Province，from March 2022 to June 2022 were selected as the study subjects，and a self-designed questionnaire on the transitional care needs of patients after surgery for aortic dissection was applied to conduct the survey. Results In this study，the total of transitional care needs of patient after surgery for aortic dissection was（116.8±112.54） and the mean score of the total entries was（3.77±0.40）. The item with the highest mean score of each dimension was the need for safety，followed by love and belonging needs，and physiological needs. The highest demand for service channels in the transitional care for patient after surgery for aortic dissection was telephone follow-up，with 168 cases（75.67%）. The need of staff for transitional care service was mostly the medical and nursing staff of the inpatient hospital，accounting for 152 cases（68.47%）. The start of the transitional care service was mostly within 2 weeks after discharge from the hospital，accounting for 154 cases（69.37%）. The frequency of transitional care services was mostly once every 1 month，accounting for 176 cases（79.28%），and the duration of transitional care was mostly 6 months，accounting for 94 cases（42.34%）. 129 patients（58.11%） were willing to pay for transitional care services，of which the majority of patients chose to pay by item，accounting for 78 cases（60.47%）. The results of the multivariate analysis showed that the factors influencing the scores of patients' transitional care needs were age，education level，employment，per capita monthly household income，and open surgery（P<0.05）. Conclusion The transitional care needs for patient after surgery for aortic dissection is moderately high，with the need for safety being the most significant，and the ways in which patients' transitional care needs services are diverse. The transitional care needs for patient after surgery for aortic dissection is influenced by multiple factors. This suggests that healthcare professionals should actively develop targeted and diversified transitional care services to meet the individual needs of patients.

Key words: Aortic Dissection, Transitional Care, Nursing Needs, Influencing Factors