Smith Jonathan, Liles Clive
The County Hospital, Hereford Hospitals NHS Trust, Hereford, UK.
J Clin Nurs. 2007 Apr;16(4):662-71. doi: 10.1111/j.1365-2702.2006.01689.x.
To explore the information needs of patients who have received treatment for a myocardial infarction before their discharge home from an acute hospital. WHAT IS KNOWN ABOUT THE TOPIC: Providing information for myocardial infarction patients is an important nursing function and is part of the role of health-care professionals delivering cardiac rehabilitation. It is essential to acknowledge and incorporate the self-perceived needs of patients into the information they receive. Hospital stays are becoming shorter, reducing the opportunities for nurses to provide predischarge information to patients. This highlights the challenge of adequately assessing and meeting patients' information needs.
A comparative, descriptive survey.
A Patient Learning Needs Scale questionnaire was completed by 20 myocardial infarction patients within 72 hours of their intended discharge. Quantitative descriptive and inferential analyses were conducted using Statistical Package for Social Sciences.
Patients indicated how important it was to know about each of 40 information items before discharge from hospital. Items related to medications, complications and physical activities were rated highly. Responses to an open question revealed that driving, returning to work and sources of support were issues of concern. Non-parametric Mann-Whitney U-tests showed that retired and older patients desired more information than their employed and younger counterparts, especially concerning community support. WHAT THE STUDY ADDS TO THE TOPIC: Previous research shows little examination of age and employment status in relation to the information needs of myocardial infarction patients. This study suggests that older and retired people may want more information than younger and employed patients.
Older people are under represented in postdischarge cardiac rehabilitation programmes. Since these patients may need different information when discharged from younger individuals, nurses must decide how they can best meet their needs for information and continuing support.
探讨在急性医院出院回家前接受过心肌梗死治疗的患者的信息需求。
为心肌梗死患者提供信息是一项重要的护理功能，也是提供心脏康复服务的医护人员职责的一部分。必须认识到患者自我感知的需求并将其纳入他们所获得的信息中。住院时间越来越短，减少了护士向患者提供出院前信息的机会。这凸显了充分评估和满足患者信息需求的挑战。
一项比较性描述性调查。
20名心肌梗死患者在预计出院的72小时内完成了一份患者学习需求量表问卷。使用社会科学统计软件包进行定量描述性和推断性分析。
患者指出了在出院前了解40项信息中的每一项的重要性。与药物、并发症和体育活动相关的项目得分很高。对一个开放性问题的回答显示，驾驶、重返工作岗位和支持来源是令人关注的问题。非参数曼-惠特尼U检验表明，退休患者和老年患者比在职患者和年轻患者需要更多信息，尤其是关于社区支持方面的信息。
先前的研究很少考察年龄和就业状况与心肌梗死患者信息需求的关系。本研究表明，老年和退休患者可能比年轻和在职患者需要更多信息。
在出院后心脏康复项目中，老年人的代表性不足。由于这些患者出院时可能需要与年轻人不同的信息，护士必须决定如何才能最好地满足他们对信息和持续支持的需求。
