CAJ | 학술논문

目的：了解出院患者的延续护理服务需求及相关意愿。方法：采用自设问卷对12家三级甲等医院的2910例住院患者进行调查。结果：①出院时患者有管路维护需求的有1988例（68.31%），其中排序在前3位的依次是PICC管路维护912例（31.34%）、尿管维护606例（20.82%）、引流管维护436例（14.98%）；②选择出院接受延续护理服务的患者2144例（75.71%），选择入户服务的1603例（56.17%）；研究对象对不同服务提供者的选择有统计学差异（χ2=235.391，P<0.001）；③愿意接受延续护理服务收费小于10元/次的有1395例(48.78%)，小于30元/小时的有1940例(68.58%)。结论：延续护理服务势在必行，应根据出院患者的需求和意愿建立延续护理服务体系，发挥延续护理服务的社会和经济效益。
목적：료해출원환자적연속호리복무수구급상관의원。방법：채용자설문권대12가삼급갑등의원적2910례주원환자진행조사。결과：①출원시환자유관로유호수구적유1988례（68.31%），기중배서재전3위적의차시PICC관로유호912례（31.34%）、뇨관유호606례（20.82%）、인류관유호436례（14.98%）；②선택출원접수연속호리복무적환자2144례（75.71%），선택입호복무적1603례（56.17%）；연구대상대불동복무제공자적선택유통계학차이（χ2=235.391，P<0.001）；③원의접수연속호리복무수비소우10원/차적유1395례(48.78%)，소우30원/소시적유1940례(68.58%)。결론：연속호리복무세재필행，응근거출원환자적수구화의원건립연속호리복무체계，발휘연속호리복무적사회화경제효익。
Objective:To explore transitional care needs among discharged patients. Methods:Totally 2910 discharged patients from 12 Tertiary Grade-A hospitals were investigated by self-designed questionnaire. Results:①Totally 1988(68.31%) discharged patients need tube maintenance. The three top professional care needs were PICC catheter maintenance (31.34%), urinary catheter maintenance (20.82%), and drainage tube maintenance (14.98%); ②Totally 2144 (75.71%) discharged patients chose transitional care service and 1603 (56.17%) patients chose home service. The difference between respondents'wishes of choosing hospital nurse or community nurse as server was statistically signiifcant (χ2=235.391, P<0.001);③Totally 1395 (48.78%) discharged patients could accept the offer of less than 10 yuan at a time and 1940 (68.58%) could accept the offer of below 30 yuan for an hour. Conclusions:It was imperative to provide transitional care .The launch of transitional care could be based on needs and demands of service forms and charging preference. On this basis, transitional care service system could play an important role in social and economic beneift.