Kwong Wah Hospital, Hospital Authority, Kowloon, Hong Kong, China.
J Adv Nurs. 2011 May;67(5):1041-52. doi: 10.1111/j.1365-2648.2010.05528.x. Epub 2010 Dec 3.
This paper is a report of a descriptive study of Chinese abdominal surgical patients' and nurses' perceptions of discharge information needs.
Discharge from hospital poses a potential threat to surgical patients' lives because they have to cope in daily life with the consequences of the illness and surgery. Recent studies indicate that nurses often underestimate or inappropriately perceive patients' discharge information needs. Few studies have examined the discharge information needs of patients who have undergone abdominal surgery, and research in Asian populations is particularly scarce.
A descriptive qualitative study was conducted in 2008. Semi-structured interviews were performed with a convenience sample of 16 patients who had undergone an abdominal surgery and their 16 nurses in a regional general hospital in Hong Kong.
Results of content analysis indicated that to both the surgical patients and their nurses, three similar categories of information needs on discharge were health concerns upon discharge, addressing patients' information needs, and obstacles that hindered information seeking. Specific needs related to finance, knowledge of illness, psychological support and role of diet and traditional Chinese medicine perceived as important by the patients were underestimated by the surgical nurses and revealed important issues in providing holistic and culture-specific nursing care for surgical patients upon discharge.
Surgical patients' information needs on finance, illness condition, psychological support and cultural practices were found not to be accurately and adequately understood by their nurses. Nurses should give culturally specific and appropriate predischarge education in terms of promotion of recovery from surgery, health maintenance practice and psychological support.
本研究报告是对中国腹部外科患者和护士对出院信息需求认知的描述性研究。
患者出院对其生命健康构成潜在威胁，因为他们必须在日常生活中应对疾病和手术带来的后果。最近的研究表明，护士往往低估或不适当地感知患者的出院信息需求。很少有研究调查接受过腹部手术的患者的出院信息需求，而亚洲人群的相关研究尤其匮乏。
本研究于 2008 年采用描述性定性研究方法，在香港一家地区综合医院便利选取了 16 例接受腹部手术的患者及其 16 名护士进行半结构式访谈。
内容分析结果表明，对患者和护士而言，出院时的健康状况、满足患者信息需求以及阻碍信息获取这三个相似的信息需求类别均较为重要。患者认为与经济状况、疾病知识、心理支持以及饮食和中医相关的具体需求非常重要，但却被外科护士低估，这揭示了为患者提供全面和特定文化护理时存在的重要问题。
患者对经济状况、疾病状况、心理支持和文化习俗的信息需求未被护士准确和充分地理解。护士应提供特定文化背景下的、适当的出院前教育，包括促进术后康复、健康维护实践和心理支持。
