Han Chin-Yen, Lin Chun-Chih, Goopy Suzanne, Hsiao Ya-Chu, Barnard Alan
Chin-Yen Han, RN, PhD, is Associate Professor; and Chun-Chih Lin, RN, PhD, is Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, and Department of Nursing, Chang Gung Memorial Hospital at Linku, Taiwan, ROC. Suzanne Goopy, RN, PhD, is Associate Professor, Faculty of Nursing, University of Calgary, Alberta, Canada. Ya-Chu Hsiao, RN, EdD, is Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, and Department of Nursing, Chang Gung Memorial Hospital at Linku, Taiwan, ROC. Alan Barnard, RN, PhD, is Senior Lecturer, Queensland University of Technology, Brisbane, Australia.
Nurs Res. 2017 Jul/Aug;66(4):304-310. doi: 10.1097/NNR.0000000000000226.
Elders often experience multiple chronic diseases associated with frequent early return visits to emergency departments (EDs). There is limited knowledge of the experiences and concerns of elders during ED return visits.
The purpose of the research was to explore the experiences of elders during ED return visits, with a view toward identifying factors that contribute to return visits.
The qualitative approach of phenomenography was used. Data were collected at one ED in a 3,000-bed medical center in Taiwan. Inclusion criteria were aged 65 or above and return visits to the ED within 72 hours of discharge from an index ED visit. The seven steps of qualitative data analysis for a phenomenographic study were employed to develop understanding of participants' experiences.
Thirty return-visit elders were interviewed in 2014. Four categories of description were established from the participants' accounts. These were "being tricked by ED staff," "doctor shopping," "a sign of impending death," and "feeling fatalistic." The outcome space of elders with early return visits to ED was characterized as "seeking the answer."
Index ED visits are linked to return visits for Taiwanese elders through physiological, psychological, and social factors.
老年人常患有多种慢性疾病，这与频繁提前返回急诊科就诊有关。对于老年人在急诊科复诊期间的经历和担忧，我们了解得还很有限。
本研究旨在探索老年人在急诊科复诊期间的经历，以确定导致复诊的因素。
采用现象学的定性研究方法。数据收集于台湾一家拥有3000张床位的医疗中心的一个急诊科。纳入标准为年龄65岁及以上，且在首次急诊科就诊出院后72小时内返回该急诊科复诊。采用现象学研究定性数据分析的七个步骤来理解参与者的经历。
2014年对30名复诊老年人进行了访谈。从参与者的叙述中确定了四类描述。分别是“被急诊科工作人员欺骗”“频繁更换医生”“死亡将至的征兆”和“感到宿命论”。提前返回急诊科复诊的老年人的结果空间被描述为“寻求答案”。
对于台湾老年人来说，首次急诊科就诊通过生理、心理和社会因素与复诊相关联。
Zotero 插件