Buowari Dabota Yvonne, Ikpae Barile Edward
Department of Accident and Emergency, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Niger Med J. 2024 Sep 26;65(4):524-532. doi: 10.60787/nmj-v65i3-416. eCollection 2024 Jul-Aug.
Patient centred care has a correlation to effectiveness of patient engagement, patient care, and perceived quality of care. Even in the emergency room, awareness of diagnosis and treatment plan is a critical component in every doctor-patient interface as it enhances patient-centred care. This study aims to assess awareness of diagnosis and treatment plan among patients in the accident and emergency department.
This is a cross-sectional study conducted at the accident and emergency department of the University of Port Harcourt Teaching Hospital.
One hundred and ninety-seven respondents were recruited into this study comprising of 51.3% males and 48.8% females. Most 86.8% of the respondents were aware of their diagnosis, of which 91.8% knew the accurate diagnosis. Majority 84.8% of the respondents were aware of the treatment, while 68.8% of the respondents were aware of the names of the medications, most of the respondents 59.4% had no knowledge of the side effects of the medications. The majority, 61.4% were involved in the management decision. No significant relationship existed between the socio-demographic characteristics and knowledge of diagnosis and treatment plan.
The chaotic and overcrowded nature of the accident and emergency department should not hamper the delivery of patient centred care. Although, findings obtained from this study reveal that majority of the respondents are aware of their diagnosis and treatment plan, a portion of respondents do not understand their plan of care; this indicates the need for further studies to identify interventions that would ensure that gaps in the physician -patient communication are filled as this optimizes patients' satisfaction of care received, gives better sense of control of their total situation and better quality of life.
以患者为中心的护理与患者参与度、患者护理效果及感知护理质量相关。即便在急诊室，对诊断和治疗方案的知晓也是每次医患交流的关键组成部分，因为它能加强以患者为中心的护理。本研究旨在评估急诊科患者对诊断和治疗方案的知晓情况。
这是一项在哈科特港大学教学医院急诊科开展的横断面研究。
197名受访者参与了本研究，其中男性占51.3%，女性占48.8%。大多数（86.8%）受访者知晓自己的诊断，其中91.8%知道准确诊断。大多数（84.8%）受访者知晓治疗情况，68.8%的受访者知晓所用药物名称，大多数受访者（59.4%）对药物副作用一无所知。大多数（61.4%）受访者参与了管理决策。社会人口学特征与诊断和治疗方案知晓情况之间不存在显著关联。
急诊科混乱和拥挤的状况不应妨碍提供以患者为中心的护理。尽管本研究结果显示大多数受访者知晓自己的诊断和治疗方案，但部分受访者不理解自己的护理计划；这表明需要进一步研究以确定能填补医患沟通差距的干预措施，因为这能优化患者对所接受护理的满意度，让他们更好地掌控自身整体状况并提高生活质量。
