Thompson C L, Richmond M
College of Nursing, University of Tennessee, Memphis 38163.
Heart Lung. 1990 Jan;19(1):79-83.
An increasing number of ventilator-dependent patients are being transferred from hospitals to their homes. Discharge teaching has been based on health professionals' perception of what patients need to know and how they can learn best. In this study we asked ventilator-dependent patients who were living at home (N = 13) to complete a questionnaire concerning their perceptions of ideal discharge teaching. Most respondents believed that teaching should occur (1) at the bedside, (2) with one or two family members, (3) with only the team member doing the teaching, (4) for a 30-minute session, (5) using demonstration technique. Subjects thought that teaching regarding the lung disease process was less important than other content. The patients' criteria for learning mostly agree with those identified by health care professionals, and can be met easily in most settings.
越来越多依赖呼吸机的患者正从医院转至家中。出院指导一直基于医护人员对患者需要了解什么以及如何能学得最好的认知。在本研究中，我们让在家生活的依赖呼吸机的患者（N = 13）填写一份关于他们对理想出院指导认知的问卷。大多数受访者认为指导应在（1）床边进行，（2）有一两名家庭成员在场，（3）只有进行指导的团队成员参与，（4）时长为30分钟，（5）采用演示技巧。受试者认为关于肺部疾病进程的指导不如其他内容重要。患者的学习标准大多与医护人员确定的标准一致，并且在大多数情况下都能轻松满足。
