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普外科患者对出院教育的体验:一项定性研究。

General surgical patients' experience of hospital discharge education: A qualitative study.

机构信息

School of Nursing and Midwifery, Griffith University, Gold Coast, Qld, Australia.

Nursing and Midwifery Education and Research Unit, Gold Coast University Hospital, Gold Coast Health, Gold Coast, Qld, Australia.

出版信息

J Clin Nurs. 2020 Jan;29(1-2):e1-e10. doi: 10.1111/jocn.15057. Epub 2019 Oct 17.

Abstract

AIMS AND OBJECTIVES

To explore adult general surgical patients' perceptions of, and satisfaction with, discharge education provided by healthcare providers.

BACKGROUND

Discharge education is essential for general surgical patients as it equips them with the required knowledge and skills to engage in their care after discharge. Insufficient knowledge to self-manage or assess their symptoms can result in postdischarge complications, unplanned hospital readmission and overall dissatisfaction with the hospital experience.

DESIGN

A constructivist-interpretivist paradigm using qualitative interviews.

METHODS

Telephone interviews were conducted with 13 patients between August 2018 and November 2018 and analysed using inductive content analysis. COREQ guidelines were adopted for the conduct and reporting of the study.

RESULTS

Four themes were uncovered: (a) The quality of discharge information influences patients' postdischarge experience; (b) The negative impact of contextual influences on delivery of discharge education; (c) Patients actively participating in their surgical journey; (d) Patients' preferences with the delivery of discharge education.

CONCLUSION

Inadequate discharge education leads to patients' inability to self-manage their recovery process. Information sharing with patients fosters shared understanding towards goals and expectations.

RELEVANCE TO CLINICAL PRACTICE

Understanding patients' view may inform the design of patient-centred discharge education interventions for patients to self-manage their recovery postdischarge.

摘要

目的和目标

探讨成年普通外科患者对医疗保健提供者提供的出院教育的看法和满意度。

背景

出院教育对于普通外科患者至关重要,因为它使他们具备了在出院后参与自身护理所需的知识和技能。如果缺乏自我管理或评估症状的知识,可能会导致出院后并发症、计划外住院再入院和对医院体验的整体不满。

设计

使用定性访谈的建构主义-解释主义范式。

方法

2018 年 8 月至 11 月期间,对 13 名患者进行了电话访谈,并使用归纳内容分析法进行了分析。本研究的进行和报告采用了 COREQ 指南。

结果

揭示了四个主题:(a)出院信息的质量影响患者的出院后体验;(b)环境影响对出院教育传递的负面影响;(c)患者积极参与他们的手术过程;(d)患者对出院教育传递的偏好。

结论

不足的出院教育导致患者无法自我管理他们的康复过程。与患者分享信息有助于共同理解目标和期望。

临床相关性

了解患者的观点可能会为设计以患者为中心的出院教育干预措施提供信息,以便患者在出院后自我管理康复。

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