Awareness of diagnosis and follow up care after discharge from the Emergency Department
Awareness of diagnosis and follow up care after discharge from the Emergency Department
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DOI：
10.1016/j.auec.2019.08.004
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发表时间：
2019-12-01
影响因子：
1.8
通讯作者：
Mitra, Biswadev
中科院分区：
文献类型：
--
作者：
Leamy, Kelly;Thompson, John;Mitra, Biswadev
背景资料：目前，患者从急诊科（艾德）出院时会收到出院总结，包括调查结果、医学评估和卫生专业人员的随访要求。本研究的目的是评估，如果一个简化的出院信息卡，除了目前的护理提高患者的意识，他们的出院诊断和后续的appoint.Methods的要求：一个前瞻性的前后设计干预性研究进行。干预前阶段收集了未收到出院卡的患者的数据。干预后阶段发生在实施出院卡之后。参与者接受了简短的采访，以评估对诊断的认识和出院后的随访预约要求。反应进行了比较，以计划在医疗notes和concordance determined.Results：有112例患者在干预前组和117在干预后组。出院诊断的知晓率从干预前参与者的73.2%（95% CI：64.3-80.5）提高到收到出院卡的参与者的89.7%（95% CI：82.9-94.0）（p < 0.001; NNT 6.1例患者）。统计学显着的改善，观察后续destination和timing.Conclusion知识：一个简短的出院信息卡提高出院诊断和后续要求的认识。这种干预措施，使患者了解自己的健康，应考虑出院前从ED。(C)2019年澳大利亚急诊护理学院由爱思唯尔有限公司出版。保留所有权利。
Background: Patients currently receive discharge summaries including investigation results, medical assessment and follow up requirements with health professionals on discharge from the emergency department (ED). This study aimed to evaluate if a simplified discharge information card in addition to current care improved patients' awareness of their discharge diagnosis and requirements for follow-up appointment.Methods: A prospective pre-post design interventional study was conducted. The pre-intervention phase collected data from patients who did not receive the discharge card. The post-intervention phase occurred after implementing the discharge card. Participants underwent brief interviews to assess awareness of diagnosis and follow-up appointment requirements after discharge. Responses were compared to the plan in the medical notes and concordance determined.Results: There were 112 patients in the pre-intervention group and 117 in the post-intervention group. Awareness of discharge diagnosis improved from 73.2% (95% CI: 64.3-80.5) of pre-interventions participants to 89.7% (95% CI: 82.9-94.0) for participants receiving the discharge card (p < 0.001; NNT 6.1 patients). Statistically significant improvements were observed regarding knowledge of follow-up destination and timing.Conclusion: A short discharge information card improved awareness of discharge diagnoses and follow-up requirements. Such interventions that empower patients with knowledge about their health, should be considered prior to discharge from EDs. (C) 2019 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.