Rattanakanlaya Kanittha, Vuttanon Nuttamon, Noppakun Lalida, Sangwattanarat Wantanee, Boonyu Nongnuch, Iamruksa Srisuda
Division of Surgical Nursing, Faculty of Nursing, Chiang Mai University, 110/406 Intrawarorot Rd, Suthep, Muanf, Chiang Mai, 50200, Thailand.
Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, 110 Intrawarorot Rd, Sriphum, Muang, Chiang Mai 50200, Thailand.
Heliyon. 2023 Apr 14;9(5):e15341. doi: 10.1016/j.heliyon.2023.e15341. eCollection 2023 May.
This study explores perceptions regarding hospital discharge readiness among patients with post-first invasive percutaneous transhepatic biliary drainage (PTBD), family caregivers, and healthcare providers who are involved during the discharge period. A convergent mixed-method design was applied. A purposive sample of 30 patients completed a scale measuring readiness for hospital discharge, and 30 participants, including patients, family caregivers, and healthcare providers, participated in in-depth interviews. Descriptive analyses were combined with quantitative data, thematic analyses with qualitative data, and joint displays with mixed analyses. Findings indicate that readiness for hospital discharge was high, the expected support subscale was at the highest possible level, and the personal status subscale was at the lowest level. Three main themes emerged from an analysis of the interview transcripts: improved health conditions, self-care knowledge, and homecare preparedness. Self care knowledge had three sub-themes: taking care of biliary drainage, consuming a suitable diet, and observation of abnormal symptoms. Being ready for hospital discharge contributes to a safer transition from hospital to home. Healthcare providers need to reconsider the criteria for discharge and clarify patients' individual needs. Patients, family caregivers, and healthcare providers need to be prepared for hospital discharge.
本研究探讨了首次接受侵入性经皮肝穿刺胆道引流(PTBD)的患者、家庭照顾者以及出院期间参与其中的医疗服务提供者对出院准备情况的看法。采用了收敛性混合方法设计。选取了30名患者的目的样本完成了一份衡量出院准备情况的量表,30名参与者,包括患者、家庭照顾者和医疗服务提供者,参与了深入访谈。描述性分析与定量数据相结合,主题分析与定性数据相结合,联合展示与混合分析相结合。研究结果表明,出院准备情况良好,预期支持子量表处于最高水平,个人状况子量表处于最低水平。对访谈记录的分析得出了三个主要主题:健康状况改善、自我护理知识和家庭护理准备。自我护理知识有三个子主题:护理胆道引流、食用合适的饮食以及观察异常症状。做好出院准备有助于实现从医院到家庭的更安全过渡。医疗服务提供者需要重新考虑出院标准并明确患者的个体需求。患者、家庭照顾者和医疗服务提供者都需要为出院做好准备。
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