Epstein J, Turgeman A, Rotstein Z, Horoszowski H, Honig P, Baruch L, Noy S
Department of Social Work, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Soc Work Health Care. 1998;27(2):1-25. doi: 10.1300/J010v27n02_01.
A preadmission social work intervention was evaluated for impact on length of hospital stay (LOS) and patient satisfaction. Psychosocial issues related to function and post-discharge needs were assessed at an exploratory level. A modified post-test only control group design was used. Study group patients were screened before hospitalization and offered services on admission. Control group patients received standard care. Study group patients were significantly more satisfied with services but impact on length of stay was not demonstrated with one possible exception. Post-operative complications were significantly related to longer LOS; however, unlike control group patients, study group patients with complications did not have significantly longer LOS. Women and those limited in preadmission physical function were most likely to report insufficient help after discharge. A more intensive preadmission intervention is recommended to improve impact on LOS and informal support system involvement, while future outcome studies would clarify the nature of service gaps and high risk groups.
一项入院前社会工作干预措施针对其对住院时间（LOS）和患者满意度的影响进行了评估。在探索层面评估了与功能及出院后需求相关的心理社会问题。采用了仅设后测的改良对照组设计。研究组患者在住院前接受筛查，并在入院时获得服务。对照组患者接受标准护理。研究组患者对服务的满意度显著更高，但除了一个可能的例外情况外，未显示出对住院时间有影响。术后并发症与更长的住院时间显著相关；然而，与对照组患者不同，有并发症的研究组患者住院时间并未显著更长。女性以及入院前身体功能受限的患者最有可能报告出院后帮助不足。建议进行更强化的入院前干预，以改善对住院时间的影响并提高非正式支持系统的参与度，而未来的结果研究将阐明服务差距的性质和高危群体。
