PATIENT INVOLVEMENT IN DISCHARGE PLANNING

患者参与出院计划

• 批准号: 6264444
• 负责人: MARY K ANTHONY
• 金额: $ 1.92万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 1999-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6264444
• 关键词: clinical research; health care policy; health care service evaluation; health services research tag; health surveys; hospital length of stay; human subject; interview; patient care management

Improving patient readiness for discharge is associated with positive patient outcomes. However, the managed care environment has contributed to shortened lengths of stay and less time to prepare for discharge. Prior to pre-admission testing, the GCRC nurse willc onduct the semi-structured interview asking subjects open-ended questions to identify the information which they believe is needed prior to discharge. The RN will construct a "needs" list fromt he information obtained. Additionally the subjects are given the Krantz Health Opinion Survey and the Measuring Function and Well Being scale to assess wellness. Active patient participation in discharge planning increases patient readiness for discharge and participation rests on two components: knowledge and preference. In a semistructured interview, 41 patients being admitted for nonemergent colon surgery will be interviewed at three points to determine their information needs and preference for participation: preadmission, pre-discharge, and post discharge. Understanding whether patient's information needs can be identified prior to admission and if they change is useful knowledge to providers in optimizing patient readiness for discharge and avoiding potential complications of short stays.

改善患者出院准备与积极的患者结局相关。 然而，管理式护理环境缩短了住院时间，减少了准备出院的时间。 在入院前检查之前，GCRC护士将进行半结构化访谈，询问受试者开放式问题，以确定他们认为出院前需要的信息。 RN将根据获得的信息构建一个“需求”列表。 此外，受试者还接受了Krantz健康意见调查和测量功能和幸福量表，以评估健康状况。 患者积极参与出院计划可以提高患者出院的准备程度，参与取决于两个因素：知识和偏好。 在半结构化访谈中，41例因非急诊结肠手术入院的患者将在三个点接受访谈，以确定他们的信息需求和参与偏好：入院前，出院前和出院后。 了解患者的信息需求是否可以在入院前确定，如果他们改变是有用的知识，以优化患者出院准备和避免短期住院的潜在并发症提供者。