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痴呆症患者的出院计划:影响照料者决策和满意度的因素

Discharge planning for dementia patients: factors influencing caregiver decisions and satisfaction.

作者信息

Cox C B

机构信息

National Catholic School of Social Service, Catholic University of America, Washington, DC 20064, USA.

出版信息

Health Soc Work. 1996 May;21(2):97-104. doi: 10.1093/hsw/21.2.97.

DOI:10.1093/hsw/21.2.97
PMID:8722136
Abstract

Discharge planning is a major concern of hospitals as they seek to reduce costs associated with prolonged lengths of hospital stays, prevent subsequent readmissions, and ensure that discharge dispositions are appropriate. This process can be even more complicated when the patient is suffering from dementia and the family has primary responsibility for the discharge outcome. Data on the discharge process and caregiver satisfaction with it were collected from 179 caregivers of hospitalized dementia patients. The findings indicate that social workers are important influences in the discharge decisions but are significantly more influential when the discharge is to a nursing home. Findings from regression analyses indicate that caregiver satisfaction is dependent on the amount of caregiver involvement in the process.

摘要

出院计划是医院的一个主要关注点,因为它们试图降低与延长住院时间相关的成本,防止随后的再次入院,并确保出院处置得当。当患者患有痴呆症且家庭对出院结果承担主要责任时,这个过程可能会更加复杂。我们从179名住院痴呆症患者的护理人员那里收集了有关出院过程以及护理人员对其满意度的数据。研究结果表明,社会工作者在出院决策中具有重要影响,但当出院目的地是疗养院时,其影响力要大得多。回归分析的结果表明,护理人员的满意度取决于护理人员在该过程中的参与程度。

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