Bull M J, Hansen H E, Gross C R
Department of Psychiatric and Community Health Nursing, School of Nursing, University of Maryland, Baltimore, USA.
J Cardiovasc Nurs. 2000 Apr;14(3):76-87. doi: 10.1097/00005082-200004000-00010.
Client satisfaction is considered an important outcome measure in a managed care environment faced with escalating health care costs, shortened lengths of hospital stay, and competition among acute care hospitals. With shortened lengths of stay in acute care hospitals, discharge planning has assumed increased importance, particularly for elders who have chronic conditions, such as heart failure, that require follow-up care. Consequently, understanding the predictors of client satisfaction with discharge planning can help hospitals and their nursing staff to tailor services to meet client needs. Previous studies have focused on patient satisfaction with hospital care, with little attention given specifically to satisfaction with discharge planning and to family caregiver satisfaction with discharge planning. The purpose of this study was to determine whether there is a difference between elder and family member satisfaction with discharge planning 2 weeks after hospitalization and what factors predict satisfaction with discharge planning 2 weeks after hospitalization for elders hospitalized with heart failure and their family caregivers. Telephone interviews were conducted with 134 elder/family caregiver dyads 2 weeks after hospitalization. The results indicated that there were no statistically significant differences in discharge planning satisfaction of elders and their family caregivers. Continuity of care and extent to which they felt prepared to manage care following hospitalization were the best predictors of elder's and family caregiver's satisfaction with discharge planning.
在面临医疗成本不断攀升、住院时间缩短以及急症医院之间竞争加剧的管理式医疗环境中，客户满意度被视为一项重要的结果衡量指标。随着急症医院住院时间的缩短，出院计划变得愈发重要，对于患有慢性疾病（如心力衰竭）且需要后续护理的老年人而言尤为如此。因此，了解客户对出院计划满意度的预测因素有助于医院及其护理人员调整服务以满足客户需求。以往的研究主要关注患者对医院护理的满意度，而对出院计划满意度以及家庭护理人员对出院计划的满意度关注较少。本研究的目的是确定住院两周后老年人与家庭成员对出院计划的满意度是否存在差异，以及哪些因素可预测因心力衰竭住院的老年人及其家庭护理人员在住院两周后对出院计划的满意度。在住院两周后，对134对老年/家庭护理人员进行了电话访谈。结果表明，老年人及其家庭护理人员在出院计划满意度方面没有统计学上的显著差异。护理的连续性以及他们在住院后对管理护理的准备程度是老年人和家庭护理人员对出院计划满意度的最佳预测因素。
