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目的:了解宁夏回族自治区三级医院老年患者的出院准备服务开展现况，为优化实施方案和服务流程提供参考。方法:本研究为横断面研究。采用便利抽样法，于2020年11月10—30日选取宁夏回族自治区10所三级医院的175名临床科室护士长为研究对象。采用一般资料调查表、出院准备服务开展现况调查表对其进行调查。共发放175份问卷，回收有效问卷175份，有效回收率为100.00%。结果:10所三级医院中，86.29%（151/175）的科室开展了老年患者出院准备服务，其中61.59%（93/151）的科室在患者入院24~48 h内完成出院准备服务对象的筛选；25.81%（24/93）的科室使用标准化评估工具；76.16%（115/151）的科室在拟订个体化出院准备服务时，充分考虑老年患者居家附近可获得的社会资源；58.28%（88/151）的科室在出院准备服务实施过程中，护士与多学科团队协作；95.36%（144/151）的科室对出院的老年患者进行追踪随访。结论:宁夏回族自治区三级医院老年患者出院准备服务开展率整体处于中高等水平，在出院准备服务的时效性、成熟评估工具的使用、可利用社会资源的协调与运用、多学科团队的沟通合作等方面仍存在不足，相关部门和科室人员需进一步完善实施过程，不断提高老年患者出院准备服务质量。“,”Objective:To explore the current situation of discharge preparation services for elderly patients in ClassⅢ hospitals in Ningxia Hui Autonomous Region, so as to provide a reference for optimizing implementation plans and service processes.Methods:This study was a cross-sectional study. From November 10 to 30, 2020, convenience sampling method was used to select 175 head nurses of clinical departments from 10 Class Ⅲ hospitals in Ningxia Hui Autonomous Region as the research subject. The General Information Questionnaire and Discharge Preparation Service Implementation Questionnaire were used for investigation. A total of 175 questionnaires were distributed, and 175 valid questionnaires were returned with the valid response rate of 100.00%.Results:Among 10 ClassⅢ hospitals, a total of 86.29% (151/175) departments carried out discharge preparation services for elderly patients, of which 61.59% (93/151) departments completed the screening of discharge preparation service targets within 24 to 48 hours after the patients were admitted; 25.81% (24/93) departments used standardized assessment tools; 76.16% (115/151) departments fully considered the social resources available near the home of elderly patients when formulating individualized discharge preparation services; 58.28% (88/151) departments carried out nurses collaborating with multidisciplinary teams during the implementation of discharge preparation services, and 95.36% (144/151) departments followed up discharged elderly patients.Conclusions:The overall development rate of discharge preparation services for elderly patients in ClassⅢ hospitals in Ningxia Hui Autonomous Region is at a medium to high level. There are still deficiencies in the timeliness of discharge preparation services, the use of mature assessment tools, the coordination and use of available social resources, and the communication and cooperation of multidisciplinary teams. Relevant departments and department personnel need to further perfect the implementation process and continuously improve the quality of services for elderly patients to prepare for discharge.