Babaei Zahra, Alizadeh Masoumeh, Shahsawari Soodeh, Jihoni-Kalhori Azar, Cheraghbeigi Ramin, Sotoudeh Rahman, Mohammadi Ali
Department of Health Information Management Mohamad Kermanshahi Hospital, Kermanshah University of Medical Sciences Kermanshah Iran.
Department of Health Information Management Farabi Hospital, Kermanshah University of Medical Sciences Kermanshah Iran.
Health Sci Rep. 2023 Aug 1;6(8):e1447. doi: 10.1002/hsr2.1447. eCollection 2023 Aug.
Discharge by personal satisfaction is a condition in which the patient leaves the hospital before completing the care period against medical advice. Thus, this study aims to identify and analyze the reasons for discharge with the personal satisfaction of hospitalized patients.
The study was descriptive-analytical being performed in 2021. The study population was 2869 discharged inpatients with personal satisfaction. Sampling was done by random and census. The data were collected using a checklist and a researcher-made questionnaire whose validity and reliability were confirmed. The data were analyzed using SPSS24 by K-Score test for qualitative and variance for quantitative variables.
The discharge rate by personal satisfaction was 7.01%, the average age was 42 years, and the average length of stay was 4 days. Further, 57.1% of patients were female, 63.7% were married, and 21% were babies. A total of 22.77% of the patients were discharged with the father's consent, of which 13.2% were re-admitted. The most common reasons for the discharge were feeling of recovery (47.2%), the hospital being educational (30%), and dissatisfaction with the services of doctors (51.6%). Discharge with personal satisfaction had a significant relationship with the length of hospitalization ( < 0.001) and type of hospital ( = 0.04).
The feeling of recovery, the educational nature of the hospital, and dissatisfaction with the services of doctors were the most common reasons for discharge with personal satisfaction. Therefore, monitoring the provision of services, establishing proper patient-doctor communication, and increasing the awareness of patients and parents could reduce this type of discharge and its consequences.
因个人意愿出院是指患者在未完成医嘱规定的治疗周期前自行出院的情况。因此，本研究旨在识别并分析住院患者因个人意愿出院的原因。
本研究为描述性分析研究，于2021年开展。研究对象为2869例因个人意愿出院的住院患者。采用随机抽样和普查的方式进行抽样。通过清单和研究者自制的问卷收集数据，问卷的效度和信度得到了确认。使用SPSS24软件对数据进行分析，定性变量采用K-Score检验，定量变量采用方差分析。
因个人意愿出院的比例为7.01%，平均年龄为42岁，平均住院天数为4天。此外，57.1%的患者为女性，63.7%已婚，21%为婴儿。共有22.77%的患者在父亲同意下出院，其中13.2%再次入院。出院的最常见原因是感觉已康复（47.2%）、医院具有教育性质（30%）以及对医生服务不满意（51.6%）。因个人意愿出院与住院时长（<0.001）和医院类型（=0.04）存在显著关系。
感觉已康复、医院的教育性质以及对医生服务不满意是因个人意愿出院的最常见原因。因此，监测服务提供情况、建立良好的医患沟通以及提高患者和家长的意识可以减少此类出院情况及其后果。
