Elderly persons' experiences of participation in hospital discharge process
Elderly persons' experiences of participation in hospital discharge process
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DOI：
10.1016/j.pec.2010.08.025
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发表时间：
2011-10-01
影响因子：
3.5
通讯作者：
Hofoss, Dag
中科院分区：
文献类型：
--
作者：
Foss, Christina;Hofoss, Dag
目的：本研究旨在描述老年住院患者参与出院计划的出院体验。
方法：使用研究团队开发的问卷对254名80岁及以上的患者进行访谈。在患者出院后的前两周通过面对面访谈收集数据。
结果：尽管本研究中的患者年事已高，但他们确实明确表示倾向于参与。然而，患者的参与意愿与实际参与决策的机会之间没有显著相关性。听力是影响参与机会的唯一显著因素，而社会人口统计学因素对参与出院过程的可能性没有显著影响。
结论：从老年患者自身的体验来看，让老年人参与出院过程的实际操作尚未完善。性别和教育等因素对高龄患者参与度影响较小这一事实可能与年龄有关；当人足够老时，“老”就是唯一“可见”的特征。
实践意义：要确定老年患者的参与意愿程度，必须通过研究以及出院的实际操作过程积极探寻。由爱思唯尔爱尔兰有限公司出版。
Objective: The purpose of this study was to describe older hospital patients' discharge experiences on participation in the discharge planning.Methods: A sample of 254 patients aged 80+ was interviewed using a questionnaire developed by the research team. Data were collected by face-to-face interviewing during the first two weeks following patients discharge from hospital.Results: In spite of their advanced age the patients in this study did express a clear preference for participation. However, there were no significant correlation between patients' wish for participation and experienced opportunity to share decisions. Hearing ability was the only significant factor affecting the chance to participate, whereas sociodemographic factors did not significantly affect on the likelihood participation the discharge process.Conclusion: The actual practice of involving old people in the discharge process is not well developed as experienced by old patients themselves. The fact that factors like gender and education have little influence on participation in the oldest patients might be related to age; when you get old enough, old is all that is 'visible'.Practice implications: To determine the extent of elderly patients' desire to participate, one must actively look for it both through research and in the hands-on process of discharge. Published by Elsevier Ireland Ltd.