Patterson P K
Community Health Systems Department of the School of Nursing, Oregon Health Sciences, University, Portland.
QRB Qual Rev Bull. 1987 Nov;13(11):365-71. doi: 10.1016/s0097-5990(16)30167-1.
Women from a health maintenance organization who chose early postpartum discharge from the hospital were compared with women who chose a traditional stay. Subjects were mailed a questionnaire; 84% (n = 183) were returned. The survey instrument was designed to measure demographic, family, and birth-related characteristics; postpartum values and beliefs; early discharge program awareness; and postpartum care satisfaction. Findings revealed that the early discharge group had fewer primiparas, more rooming-in mothers, more bottle-feeding mothers, more deliveries between midnight and 6:00 AM, more deliveries at one hospital, more mothers who relied on themselves rather than others for their discharge decision, and more mothers who learned about early discharge from printed information rather than from clinic staff. Mothers in the late discharge group placed more value on rest and sleep, a quiet atmosphere, attention from others, and having a knowledgeable person available. Implications for hospitals and staff education are discussed in light of complete study findings.
对来自一家健康维护组织且选择产后提前出院的女性与选择传统住院时长的女性进行了比较。研究人员向受试者邮寄了调查问卷;84%(n = 183)的问卷被返还。该调查工具旨在衡量人口统计学、家庭及与分娩相关的特征;产后价值观和信念;提前出院计划知晓度;以及产后护理满意度。研究结果显示,提前出院组初产妇较少,母婴同室的母亲较多,采用奶瓶喂养的母亲较多,午夜至上午6点之间分娩的情况较多,在一家医院分娩的情况较多,更多母亲在决定出院时依靠自己而非他人,以及更多母亲是从印刷信息而非诊所工作人员那里了解到提前出院的。延迟出院组的母亲更看重休息和睡眠、安静的氛围、他人的关注以及有知识渊博的人随时可提供帮助。根据完整的研究结果,讨论了对医院和员工教育的启示。