Hospital self-discharge among adults with sickle-cell disease (SCD): associations with trust and interpersonal experiences with care.
Hospital self-discharge among adults with sickle-cell disease (SCD): associations with trust and interpersonal experiences with care.
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DOI：
10.1002/jhm.643
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发表时间：
2010-05
影响因子：
2.6
通讯作者：
Beach, Mary Catherine
中科院分区：
文献类型：
--
作者：
Haywood, Carlton, Jr.;Lanzkron, Sophie;Ratanawongsa, Neda;Bediako, Shawn M.;Lattimer-Nelson, Lakshmi;Beach, Mary Catherine
患者自行出院与一些负面的临床结果有关。研究表明，患者信任度低和护理质量差的人际体验可能与医院的自我出院有关。尽管患有镰状细胞病(SCD)的成年人经常报告质量较差的医疗体验，但针对这一患者群体，缺乏考察医院自我出院及其与患者信任和医疗体验质量之间关系的研究。目的：探讨SCD患者的人际关系经历、对医疗职业的关怀和信任与医院自我出院史之间的关系。横断面研究。一个大型的城市学术医疗中心。患有SCD的成人(18岁以上)寻求门诊或住院治疗。我们比较了有和没有医院自我出院病史的患者的特征、患者对人际关系体验和护理的质量的感知，以及患者之间的信任水平。调整后的分析表明，有医院自我出院史与更多的负面人际体验和较低的信任水平有关。医院自我出院可能是成人SCD患者接受护理质量的一个重要指标。需要进一步研究，以便更好地了解这一现象，以便能够设计有效的干预措施来防止其发生。
Patient self-discharge from hospitals has been associated with a number of negative clinical outcomes. Research suggests that low patient trust and poor quality interpersonal experiences with care may be associated with hospital self-discharge. Although adults with sickle cell disease (SCD) often report poorer quality healthcare experiences, research examining hospital self-discharge and its associations with both patient trust and quality of healthcare experiences is lacking for this patient population. To examine the association of interpersonal experiences with care and trust in the medical profession with hospital self-discharge history among patients with SCD. Cross-sectional study. A large, urban academic medical center. Adults (age 18+) with SCD seeking outpatient or inpatient care. We compared patient characteristics, patient perceptions of the quality of interpersonal experiences with care, and levels of trust between patients with and without a history of hospital self-discharge. Adjusted analyses indicated that having a history of hospital self-discharge was associated with more negative interpersonal experiences and lower levels of trust. Hospital self-discharge may be an important indicator of the quality of care received by adults with SCD. Further research is needed to better understand this phenomenon so that effective interventions can be designed to prevent its occurrence.
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