Organization and outcomes of inpatient AIDS care
Organization and outcomes of inpatient AIDS care
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DOI：
10.1097/00005650-199908000-00006
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发表时间：
1999-08-01
期刊：
影响因子：
3
通讯作者：
Weber, AL
中科院分区：
文献类型：
--
作者：
Aiken, LH;Sloane, DM;Weber, AL
客观的。比较艾滋病患者在专门的艾滋病病房、设有和没有专门的艾滋病病房的医院的分散床位病房以及已知提供良好护理的磁力医院中的 30 天死亡率和护理满意度的差异。方法。数据来自 20 家医院 40 个科室的 1,205 名连续住院患者及其 820 名护士。 结果。在专门的艾滋病病房和护理专科医院中，艾滋病患者的死亡率较低，满意度较高。初级护理临终关怀咨询和出院计划也更为常见。较高的护士与患者比例和艾滋病医生专业服务与较低的死亡率密切相关。患者满意度与床边护士对护理的组织控制密切相关。同性恋者更有可能被送往专门的艾滋病治疗单位，这在很大程度上解释了少数族裔和女性代表性不足的原因。专门的艾滋病病房和磁力医院为艾滋病患者提供了重要的好处，包括入院 30 天内死亡的几率较低、患者满意度更高以及符合专业标准的护理。更好的护士人员配置、艾滋病医生专业服务以及床边护士更多的组织控制可以改善患者的治疗效果。
OBJECTIVE. TO compare differences in AIDS patients' 30-day mortality and satisfaction with care in dedicated AIDS units, scattered-bed units in hospitals with and without dedicated AIDS units, and in magnet hospitals known to provide good nursing care.METHODS. Data were obtained on 1,205 consecutively admitted patients in 40 units in 20 hospitals and on 820 of their nurses.RESULTS. Mortality was lower and satisfaction was higher for AIDS patients in dedicated AIDS units and in nursing magnet hospitals. Primary nursing end-of-life care counseling and discharge planning were also more common. Higher nurse to patient ratios and AIDS physician specialty services were strongly associated with lower mortality. Patient satisfaction was strongly associated with organizational control of care by bedside nurses. Homosexuals were more likely to be admitted to dedicated AIDS units,which largely explains the under-representation of minorities and womenCONCLUSIONS. Dedicated AIDS units and magnet hospitals offer important benefits to AIDS patients, including lower odds on dying within 30 days of admission, higher patient satisfaction, and care meeting professional standards. Better nurse staffing, AIDS physician specialty services, and more organizational control by bedside nurses improve patient outcomes.