修订后的出院指导对患者满意度的影响。
The Impact of Revised Discharge Instructions on Patient Satisfaction.
作者信息
Waniga Heather Markey, Gerke Travis, Shoemaker Alena, Bourgoine Derek, Eamranond Pracha
机构信息
Lawrence General Hospital, Lawrence, MA, USA.
Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL, USA.
出版信息
J Patient Exp. 2016 Sep;3(3):64-68. doi: 10.1177/2374373516666972. Epub 2016 Nov 7.
INTRODUCTION
The impact of discharge instructions on a patient's experience is not fully understood. This research explored whether nurse- and physician-generated discharge instructions had a positive effect on patient perceptions regarding their discharge experience.
METHODS
We compared Press Ganey discharge-related patient satisfaction scores for the year prior to and the year subsequent to implementing revised discharge instructions for all patients admitted to a 180-bed community-based hospital.
RESULTS
Following the implementation of our revised discharge instructions, patient satisfaction significantly improved (84.7% vs 83%, < .01). Patients responded that they felt ready for discharge (86.6% vs 84.9%, = .01) and were satisfied with instructions for home care (87.8% vs 85.3%, < .01).
DISCUSSION
This study finds that a novel discharge instruction set produced by both the nursing and physician staff may improve patient perceptions with the discharge process.
引言
出院指导对患者体验的影响尚未完全明确。本研究探讨了护士和医生制定的出院指导是否会对患者对出院体验的认知产生积极影响。
方法
我们比较了一家拥有180张床位的社区医院对所有入院患者实施修订后的出院指导之前一年和之后一年Press Ganey与出院相关的患者满意度评分。
结果
实施修订后的出院指导后，患者满意度显著提高（84.7%对83%，P<.01）。患者反馈称他们感觉已为出院做好准备（86.6%对84.9%，P=.01），并且对家庭护理指导感到满意（87.8%对85.3%，P<.01）。
讨论
本研究发现，由护理人员和医生共同制定的一套新颖的出院指导可能会改善患者对出院过程的认知。
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