Atinyagrika Adugbire Bernard, Aziato Lydia
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.
BMC Nurs. 2018 Jul 9;17:29. doi: 10.1186/s12912-018-0299-6. eCollection 2018.
The purpose of the study was to explore surgical patients' experiences of discharge planning and home care in the Northern part of Ghana.
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.
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.
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.
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。
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。
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。
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。