Ailey Sarah H, Johnson Tricia J, Cabrera Andrea
J Psychosoc Nurs Ment Health Serv. 2019 Jul 1;57(7):17-22. doi: 10.3928/02793695-20190205-01. Epub 2019 Feb 8.
Patients with autism spectrum disorder and/or intellectual disability (ASD/ID) face unique health care challenges. In addition to hospital experiences characterized by fear and insufficient staff training, these patients have 1.5-times longer lengths of stay (LOS) than patients without ASD/ID, and 3.4% of patients with ASD/ID have prolonged LOS (i.e., ≥30 days). Little research exists on factors related to prolonged LOS of patients with ASD/ID, hindering efforts to develop and implement evidence-based practices to improve care and reduce prolonged LOS. The purpose of the current study was to describe factors related to prolonged LOS of adult patients with ASD/ID in acute care settings using a retrospective chart review of 10 patients discharged from one academic medical center. Findings indicate that health care institutions should evaluate performance with this patient population and identify evidence-based strategies to provide a safe environment for care and reduce LOS that is due to non-health care needs. [Journal of Psychosocial Nursing and Mental Health Services, 57(7), 17-22.].
患有自闭症谱系障碍和/或智力残疾（ASD/ID）的患者面临着独特的医疗保健挑战。除了医院体验以恐惧和工作人员培训不足为特征外，这些患者的住院时间（LOS）比没有ASD/ID的患者长1.5倍，并且3.4%的ASD/ID患者住院时间延长（即≥30天）。关于与ASD/ID患者住院时间延长相关因素的研究很少，这阻碍了制定和实施循证实践以改善护理和减少住院时间延长的努力。本研究的目的是通过对一家学术医疗中心出院的10名成年ASD/ID患者进行回顾性病历审查，描述急性护理环境中成年ASD/ID患者住院时间延长的相关因素。研究结果表明，医疗机构应该评估针对这一患者群体的表现，并确定循证策略，以提供一个安全的护理环境，并减少因非医疗保健需求导致的住院时间。[《心理社会护理与心理健康服务杂志》，57(7)，17 - 22。]
