Moradi Rekabdar Kalaiee Zahra, Ghafouri Raziyeh, Zandi Mitra, Nasiri Malihe
Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
PLoS One. 2024 Jun 13;19(6):e0304969. doi: 10.1371/journal.pone.0304969. eCollection 2024.
Patient education at the time of discharge is one of the most important challenges in the emergency department. This study aimed to evaluate the Effect of implementing the IDEAL, or integrated discharge model, on the satisfaction of patients referred to the trauma emergency department.
This quasi-experimental study was conducted on the patients referred to the trauma emergency department of Imam Hossein Hospital in Tehran. Eighty-six patients were recruited from January 20, 2023, until July 30, 2023. In the intervention group, the educational content was taught using the IDEAL (Inclusion, Discussion, Education, Assessment, Listening) or integrated discharge model, and in the control group, it was taught using the emergency department routine method. The satisfaction questionnaire of the emergency department was completed before and after the education in both groups and compared between the two groups. The data were analyzed by using SPSS (version 20) software.
The results showed that out of the 86 participating patients, 52 (60.5%) were male and 34 (39.5%), with a mean (Standard Deviation) of 39.14 (10.89) years old. Demographic characteristics were homogeneous between the two groups (P > 0.05). The mean (standard deviation) of satisfaction of the participants after education, totally was 63.56 (16.21), in the intervention group it was 77.37 (7.95), and in the Control group it was 49.74 (8.84). The mean (SD) participants satisfaction on arrival at the emergency department in the intervention group was 19.16 (2.75) and in the control group was 13.51 (2.51), during hospitalization in the intervention group was 10.72 (1.77) and in the Control group 6.74 (1.81), discharge time in the intervention group 14.51 (2.93) and in the control group 2.93 (2.04), Overall satisfaction with nursing care in intervention group 13.85 (2.46) and in the control group 8.46 (2.41), Overall satisfaction with medical procedures in the intervention group 12.81 (2.73) and in the control group 8.58 (3.20) and Overall patient satisfaction in the intervention group 2.27 (1.81) and 41.4 (1.66) in the control group. An independent T-test was used to compare satisfaction and its dimensions in two groups, and there was a statistically significant difference between the two groups (P<0.01).
The study results showed a statistically significant difference in the satisfaction in the intervention and control groups, so it can be concluded that conducting the integrated discharge model is effective in increasing the satisfaction of trauma patients. Therefore, it is recommended to use this educational method to increase patient satisfaction and decrease readmission rates.
出院时的患者教育是急诊科面临的最重要挑战之一。本研究旨在评估实施IDEAL（综合出院模式）对转诊至创伤急诊科患者满意度的影响。
本准实验研究针对转诊至德黑兰伊玛目侯赛因医院创伤急诊科的患者开展。从2023年1月20日至2023年7月30日招募了86名患者。干预组采用IDEAL（纳入、讨论、教育、评估、倾听）或综合出院模式进行教育内容讲授，对照组采用急诊科常规方法进行讲授。两组在教育前后均完成急诊科满意度问卷，并进行组间比较。数据使用SPSS（20版）软件进行分析。
结果显示，在86名参与患者中，52名（60.5%）为男性，34名（39.5%）为女性，平均（标准差）年龄为39.14（10.89）岁。两组的人口统计学特征相似（P>0.05）。教育后参与者的总体满意度平均（标准差）为63.56（16.21），干预组为77.37（7.95），对照组为49.74（8.84）。干预组患者到达急诊科时的平均（SD）满意度为19.16（2.75），对照组为13.51（2.51）；住院期间干预组为10.72（1.77），对照组为6.74（1.81）；出院时干预组为14.51（2.93），对照组为2.93（2.04）；干预组对护理的总体满意度为13.85（2.46），对照组为8.46（2.41）；干预组对医疗程序的总体满意度为（2.73），对照组为8.58（3.20）；干预组患者总体满意度为2.27（1.81），对照组为41.4（1.66）。采用独立T检验比较两组的满意度及其维度，两组之间存在统计学显著差异（P<0.01）。
研究结果显示干预组和对照组在满意度方面存在统计学显著差异，因此可以得出结论，实施综合出院模式对提高创伤患者满意度有效。因此，建议采用这种教育方法来提高患者满意度并降低再入院率。
