Nursing discharge planning for older medical inpatients in Switzerland: A cross-sectional study
Nursing discharge planning for older medical inpatients in Switzerland: A cross-sectional study
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DOI：
10.1016/j.gerinurse.2015.07.002
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发表时间：
2015-11-01
影响因子：
2.7
通讯作者：
Goulet, Celine
中科院分区：
文献类型：
--
作者：
Mabire, Cedric;Buela, Christophe;Goulet, Celine
老年内科住院患者的护理出院计划是确保最佳过渡到家和减少出院后不良事件的基本护理要素。这项横断面研究的目的是调查老年内科住院患者的护理出院计划组成部分、患者出院准备情况以及在接下来的30天内非计划的医疗服务利用之间的关系。结果表明，没有患者受益于全面的出院计划，但大多数患者受益于不到一半的出院计划部分。记录中最频繁的干预是协调，最不常见的是患者参与有关出院的决定。接受更多护理出院部分的患者在30天的随访期内感觉回家的准备明显减少，再次入院的人数明显增加。这项研究突出了老年内科住院患者在护理出院计划过程中的巨大差距，并确定了最需要改进的特定领域。(C)2015 Elsevier Inc.保留所有权利。
Nursing discharge planning for elderly medical inpatients is an essential element of care to ensure optimal transition to home and to reduce post-discharge adverse events. The objectives of this cross-sectional study were to investigate the association between nursing discharge planning components in older medical inpatients, patients' readiness for hospital discharge and unplanned health care utilization during the following 30 days. Results indicated that no patients benefited from comprehensive discharge planning but most benefited from less than half of the discharge planning components. The most frequent intervention recorded was coordination, and the least common was patients' participation in decisions regarding discharge. Patients who received more nursing discharge components felt significantly less ready to go home and had significantly more readmissions during the 30-day follow-up period. This study highlights large gaps in the nursing discharge planning process in older medical inpatients and identifies specific areas where improvements are most needed. (C) 2015 Elsevier Inc. All rights reserved.