目的:探讨老年共病肠肿瘤患者出院准备度与出院指导质量、衰弱现状的相关性。方法:对2017年12月至2019年12月于山东大学齐鲁医院（青岛）普外科住院的老年共病肠肿瘤患者422例，采用出院准备度量表（RHDS）、出院指导质量量表（QDTS）、衰弱程度量表（CFAI）、匹兹堡睡眠质量指数量表（PSQI）、艾森克人格问卷简式量表中国版（EPQ-RSC）和一般社会人口学资料对患者进行评测。结果:422例老年共病肠肿瘤患者RHDS得分为（56.76 ± 27.79）分，相关性分析显示，RHDS总分及其个人状态、适应能力、预期性支持3个维度得分与出院前获得的内容、指导技巧及效果、QDTS总分均呈显著正相关(n r值为0.934~0.996，n P<0.01)；与身体衰弱、心理衰弱、环境衰弱、社会衰弱、CFAI总分呈显著负相关（n r值为0.660~0.968，n P<0.01）；与PSQI总分呈显著负相关（n r值为0.911~0.958，n P<0.01）。多因素分析显示，QDTS总分、CFAI总分、PSQI总分、性别、文化程度、配偶、共病数量及有无肠造口是患者出院准备度的影响因素（n P<0.05）。n 结论:老年共病肠肿瘤患者出院准备不完善，出院指导质量欠佳、衰弱程度重、睡眠质量差、女性、文化水平低、有配偶、共病数量多及存在肠造口的老年共病肠肿瘤患者出院准备不充分。“,”Objective:To investigate the correlation between discharge readiness of elderly comorbid intestinal tumor patients and the quality of discharge guidance and the status of debilitating.Methods:For 422 elderly comorbidity patients with intestinal tumor hospitalized in the general surgery department of Qilu Hospital of Shandong University (Qingdao) from December 2017 to December 2019, the Readiness for Hospital Discharge Scale (RHDS) and the Quality of Discharge Teaching Scale (QDTS) were used. Patients were evaluated with QDTS, Comprehensive Frailty Assessment Instrument (CFAI), Pittsburgh Sleep Quality Index (PSQI), Eysenck Personality Questionnaire (EPQ-RSC) and general socio-demographic data.Results:RHDS score of 422 elderly patients with comorbid intestinal tumor was (56.76±27.79) points, and the correlation analysis showed that the RHDS total score, personal status, adaptability, and expected support scores were significantly positively correlated with the contents, guidance skills and effects obtained before discharge, and the total score of QDTS (n r values were 0.934 to 0.996, n P<0.01). There was a significant negative correlation with physical, psychological, environmental, social and CFAI scores (n r values were 0.660 to 0.968, n P<0.01). There was a significant negative correlation with the total score of PSQI (n r values were 0.911 to 0.958, n P<0.01). Multi-factor analysis showed that the total score of QDTS, total score of CFAI, total score of PSQI, gender, educational level, spouse, number of comorbidities and the presence or absence of intestinal stoma were the influencing factors of patients' discharge readiness (n P<0.05).n Conclusion:The discharge preparation of elderly patients with comorbidity intestinal tumor is not perfect. The discharge preparation of elderly patients with comorbidity intestinal tumor is inadequate, such as poor discharge guidance quality, severe fattening degree, poor sleep quality, female, low education level, spouse, large number of comorbidity and intestinal stoma.