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老年人的出院计划与连续性护理:满意度指标及对实践的启示

Discharge planning and continuity of care for aged people: indicators of satisfaction and implications for practice.

作者信息

Clare J, Hofmeyer A

机构信息

School of Nursing, Flinders University of South Australia, Adelaide, Australia.

出版信息

Aust J Adv Nurs. 1998 Sep-Nov;16(1):7-13.

PMID:9807277
Abstract

In this study using questionnaire and in-depth interviews, a sample of 67 aged participants conveyed their health experiences related to the process of discharge planning. The objectives of the study were to describe indicators of satisfaction in the process of discharge planning as identified by aged participants, their carers and key health professionals and to describe participant and carer knowledge of recovery needs, medications and availability of community services. The results of this study show that 71% of aged participants expressed satisfaction with their overall experience of hospital discharge planning and felt well prepared for discharge. Two indicators of satisfaction for aged people were that they and their carers were involved with hospital staff in decisions about what would happen after discharge and that they received relevant information and education about their post-acute recovery needs. Findings of this study reveal effective communication and negotiation between aged people, their carers, hospital and community health professionals as key factors in continuity of care and satisfaction with discharge planning.

摘要

在这项采用问卷调查和深度访谈的研究中,67名老年参与者的样本传达了他们与出院计划过程相关的健康经历。该研究的目的是描述老年参与者、他们的照顾者和关键医疗专业人员所确定的出院计划过程中的满意度指标,并描述参与者和照顾者对康复需求、药物以及社区服务可用性的了解。这项研究的结果表明,71%的老年参与者对他们的医院出院计划总体体验表示满意,并对出院做好了充分准备。老年人满意度的两个指标是,他们和他们的照顾者与医院工作人员一起参与了出院后会发生什么的决策,以及他们收到了关于急性后期康复需求的相关信息和教育。这项研究的结果表明,老年人、他们的照顾者、医院和社区医疗专业人员之间有效的沟通和协商是护理连续性和出院计划满意度的关键因素。

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