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The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol.医院环境中患者与护士以患者为中心的沟通体验:一项定性系统评价方案
JBI Database System Rev Implement Rep. 2015 Jan;13(1):76-87. doi: 10.11124/jbisrir-2015-1072.
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Patient perspectives on post-discharge surgical site infections: towards a patient-centered mobile health solution.患者对出院后手术部位感染的看法:迈向以患者为中心的移动健康解决方案。
PLoS One. 2014 Dec 1;9(12):e114016. doi: 10.1371/journal.pone.0114016. eCollection 2014.
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Outpatient follow-up versus 30-day readmission among general and vascular surgery patients: a case for redesigning transitional care.普通外科和血管外科患者的门诊随访与 30 天再入院率:重新设计过渡性护理的理由。
Surgery. 2014 Oct;156(4):949-56. doi: 10.1016/j.surg.2014.06.041.
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Facilitators and barriers to effective smoking cessation: counselling services for inpatients from nurse-counsellors' perspectives--a qualitative study.促进和阻碍有效戒烟的因素:从护士咨询师的角度看住院患者的咨询服务——一项定性研究。
Int J Environ Res Public Health. 2014 May 6;11(5):4782-98. doi: 10.3390/ijerph110504782.
5
Postoperative recovery from the perspective of day surgery patients: a phenomenographic study.日间手术患者视角下的术后恢复:现象学研究。
Int J Nurs Stud. 2013 Dec;50(12):1630-8. doi: 10.1016/j.ijnurstu.2013.05.002. Epub 2013 May 30.
6
Quality and safety of hospital discharge: a study on experiences and perceptions of patients, relatives and care providers.医院出院的质量和安全:一项关于患者、家属和护理提供者的经验和看法的研究。
Int J Qual Health Care. 2013 Feb;25(1):66-74. doi: 10.1093/intqhc/mzs066. Epub 2012 Nov 25.
7
Association of postdischarge complications with reoperation and mortality in general surgery.普通外科出院后并发症与再次手术及死亡率的关联
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Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers.患者出院时得到妥善照料了吗?一项关于患者、家属及护理人员认知与体验的定性研究。
BMJ Qual Saf. 2012 Dec;21 Suppl 1:i39-49. doi: 10.1136/bmjqs-2012-001165. Epub 2012 Nov 1.
9
Patient narratives of surgical site infection: implications for practice.患者的手术部位感染叙述:对实践的启示。
J Hosp Infect. 2013 Jan;83(1):41-5. doi: 10.1016/j.jhin.2012.07.025. Epub 2012 Oct 22.
10
Engaging patients in managing their health care: patient perceptions of the effect of a total joint replacement presurgical class.让患者参与自身医疗保健管理:患者对全关节置换术前课程效果的看法。
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加纳北部外科患者对护士术后护理及随访教育的看法。

Surgical patients' perspectives on nurses' education on post-operative care and follow up in Northern Ghana.

作者信息

Atinyagrika Adugbire Bernard, Aziato Lydia

机构信息

Nurses' Training College, Zuarungu, Ghana.

2Department of Adult Health, School of Nursing, College of Health Sciences, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana.

出版信息

BMC Nurs. 2018 Jul 9;17:29. doi: 10.1186/s12912-018-0299-6. eCollection 2018.

DOI:10.1186/s12912-018-0299-6
PMID:30002600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6038327/
Abstract

BACKGROUND

The purpose of the study was to explore surgical patients' experiences of discharge planning and home care in the Northern part of Ghana.

METHODS

The study was conducted at a referral hospital located at the Northern part of Ghana. A qualitative explorative descriptive design was adopted for the study. Purposive sampling technique was used to recruit participants. Data was saturated with 15 participants aged between 23 and 65 years. All the interviews were audio-taped and transcribed verbatim. Data analysis was done using the processes of content analysis.

RESULTS

Nurses educated surgical patients on discharge to avoid smoking, alcohol drinking, chewing cola nuts and strenuous exercise to promote healing and prevent complications. Patients were educated to keep their wound dry and clean. Patients were advised to eat nutritious food, vegetables and fruits and take their medications as prescribed. They were to report drug effects and come to the hospital for follow-up visits. Patients were urged to come for daily wound dressing at the outpatient department. On the contrary, some nurses did not educate patients on signs of wound healing or infection. Some nurses were rude to the patients during wound dressing. Nurses did not visit patients at home when they were discharged from the hospital.

CONCLUSIONS

The study showed that although nurses were able to educate discharged patients on how to manage their health at home, there is the need to improve communication and attitude to enhance care.

摘要

背景

本研究的目的是探索加纳北部外科手术患者的出院计划及居家护理体验。

方法

本研究在加纳北部的一家转诊医院开展。采用定性探索性描述性设计。运用目的抽样技术招募参与者。15名年龄在23至65岁之间的参与者使数据达到饱和。所有访谈均进行录音并逐字转录。采用内容分析方法进行数据分析。

结果

护士对手术患者进行出院教育,告知其避免吸烟、饮酒、嚼可乐果及剧烈运动,以促进伤口愈合并预防并发症。指导患者保持伤口干燥清洁。建议患者食用营养丰富的食物、蔬菜和水果,并按医嘱服药。告知患者报告药物反应并前来医院复诊。督促患者到门诊部进行每日伤口换药。相反,一些护士未对患者进行伤口愈合或感染迹象的教育。一些护士在伤口换药时对患者态度粗暴。患者出院后护士未进行家访。

结论

研究表明,尽管护士能够对出院患者进行居家健康管理教育,但仍需改善沟通和态度以加强护理。