Slauenwhite C A, Simpson P
Home Care Program, Calgary, Alberta.
Orthop Nurs. 1998 Jan-Feb;17(1):30-6.
To examine the impact of enhanced early discharge on families experiencing repaired hip fracture in an older adult.
Qualitative.
Convenience sample of 23 care recipients over the age of 60 years who had experienced a hip fracture and their caregivers.
Families were interviewed 4 to 6 weeks postdischarge from the hospital. Prior to the interview a questionnaire designed to measure intra-family strain was mailed to the main caregiver. The resulting narratives were analyzed for recurring themes.
A high number of clients and their families experienced a high degree of mismatched care, especially in relation to care received by nursing staff. This perception was not influenced greatly by location (i.e., hospital or community) and was exacerbated during periods of transition.
Heightened communication involving clients and families, especially during transition from hospital to home, may lessen family/client perceptions of mismatched care.
Communication methods, role clarification of the professional nurse, and the ability to provide more holistic care during transition phases of health care are areas that need to be explored and developed.
探讨强化早期出院对老年髋部骨折修复患者家庭的影响。
定性研究。
选取23名60岁以上髋部骨折患者及其照顾者作为便利样本。
在患者出院后4至6周对其家庭进行访谈。在访谈前，向主要照顾者邮寄一份旨在测量家庭内部压力的问卷。对所得叙述进行反复主题分析。
大量患者及其家庭经历了高度的护理不匹配，尤其是与护理人员提供的护理相关。这种认知受地点（即医院或社区）影响不大，且在过渡时期会加剧。
加强患者与家庭之间的沟通，尤其是在从医院过渡到家庭期间，可能会减少家庭/患者对护理不匹配的认知。
沟通方法、专业护士角色的明确以及在医疗保健过渡阶段提供更全面护理的能力是需要探索和发展的领域。
