以家庭为中心的查房以及家庭与住院医疗团队之间关于出院的沟通。

Family-centered rounds and communication about discharge between families and inpatient medical teams.

作者信息

Subramony Anupama, Schwartz Talia, Hametz Patricia

机构信息

Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.

出版信息

Clin Pediatr (Phila). 2012 Aug;51(8):730-8. doi: 10.1177/0009922812446012. Epub 2012 May 7.

DOI:10.1177/0009922812446012

PMID:22566708

Abstract

BACKGROUND

Family-centered rounds (FCRs) are believed to enhance family-medical team communication.

OBJECTIVE

To assess family knowledge of discharge plans on teams conducting FCRs.

METHODS

Families of inpatients within 24 hours of discharge were surveyed regarding discharge plans; answers were compared with medical documentation.

RESULTS

Of 118 families, 70% knew discharge goals, whereas only 41% knew discharge day and 63% knew discharge medications. English speakers were more likely to report knowing discharge goals (adjusted odds ratio [AOR] = 3.9, 95% confidence interval [CI] = 1.2-12.2) and discharge medications (AOR = 3.2, 95% CI = 1.1-9.8) compared with Spanish speakers. Non-Hispanics were more likely to report knowing discharge day compared with Hispanics (AOR = 2.7, 95% CI = 1.1-6.6).

CONCLUSIONS

Families on teams that conduct FCRs are knowledgeable of discharge goals but less knowledgeable of discharge day and medications. Spanish-speaking and Hispanic families are less likely to report knowing discharge plans compared with English-speaking and non-Hispanic counterparts.

摘要

背景

以家庭为中心的查房（FCRs）被认为可以加强家庭与医疗团队之间的沟通。

目的

评估在进行FCRs的团队中，家庭对出院计划的了解情况。

方法

对出院24小时内的住院患者家属就出院计划进行调查；将答案与医疗记录进行比较。

结果

在118个家庭中，70%的人知道出院目标，而只有41%的人知道出院日期，63%的人知道出院用药。与说西班牙语的人相比，说英语的人更有可能报告知道出院目标（调整优势比[AOR]=3.9，95%置信区间[CI]=1.2-12.2）和出院用药（AOR=3.2，95%CI=1.1-9.8）。与西班牙裔相比，非西班牙裔更有可能报告知道出院日期（AOR=2.7，95%CI=1.1-6.6）。