Hansen R
Neuromedicinsk afdeling, Københavns Amts Sygehus i Gentofte.
Ugeskr Laeger. 1990 Aug 27;152(35):2504-6.
This article illustrates how a group of patients assess their own discharge from a neuromedical department. The length of notice about discharge is connected with the patient's experience of orientation and planning. The longer the notice, the greater the satisfaction with the orientation given by the doctor about the disease, the therapeutic possibilities and the prognosis and with the nursing staff as regards intake of medicine. Although the patient clientele has serious social problems, only one fourth had had contact with a social worker in connection with hospitalization. Over one third of the patients found that the first weeks after discharge constituted the most difficult period during the entire course of the disease and this may be connected with the fact that many of them experienced discharge as being badly planned. This shows that discharge is a stressing event in the course of an illness and that it requires more attention than it has hitherto received.
本文阐述了一组患者如何评估他们从神经医学科室出院的情况。出院通知的时长与患者的定向和规划体验相关。通知时间越长，患者对医生关于疾病、治疗可能性和预后的定向指导以及对护理人员在用药方面的满意度就越高。尽管患者群体存在严重的社会问题，但仅有四分之一的患者在住院期间与社会工作者有过接触。超过三分之一的患者认为出院后的头几周是整个病程中最艰难的时期，这可能与许多患者觉得出院计划不周有关。这表明出院是疾病过程中的一个压力事件，并且需要比以往更多的关注。
