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老年患者住院后的随访:护士的观点。

Follow-up visits to older patients after a hospital stay: nurses' perspectives.

作者信息

Karlsson Margareta, Karlsson Ingrid

机构信息

Department of Health Sciences, University West, Trollhättan, Sweden.

Capio Läkarhus Almö, Myggenäs, Sweden.

出版信息

Br J Community Nurs. 2019 Feb 2;24(2):80-86. doi: 10.12968/bjcn.2019.24.2.80.

Abstract

Older patients with multimorbidity and extensive healthcare needs are at risk of frequent readmission to hospital after discharge. With a Swedish report entitled 'Follow-up 48-72' as its basis, the present study aimed to describe nurses' experiences of follow-up visits to older patients with multimorbidity 48 to 72 hours after discharge from hospital. Semi-structured interviews were conducted with 10 nurses experienced with such home visits to older patients, and the material was analysed by qualitative content analysis. The results indicate that such visits by nurses can relieve patient anxiety, as patients are often unsure of the next steps, in terms of medication and care. According to the nurses, these visits created trust in the nurse-patient relationship and ensured patient safety. Follow-up visits soon after discharge from hospital should become a part of routine nursing, especially for older people with multimorbidity.

摘要

患有多种疾病且有广泛医疗需求的老年患者出院后有频繁再次入院的风险。本研究以一份题为《48 - 72小时随访》的瑞典报告为基础,旨在描述护士对患有多种疾病的老年患者出院后48至72小时进行随访的经验。对10名有对老年患者进行此类家访经验的护士进行了半结构化访谈,并采用定性内容分析法对材料进行了分析。结果表明,护士进行此类家访可以缓解患者的焦虑,因为患者在用药和护理方面往往不确定接下来的步骤。据护士们说,这些家访建立了医患关系中的信任并确保了患者安全。出院后不久进行随访应该成为常规护理的一部分,尤其是对于患有多种疾病的老年人。

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