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首页> 外文期刊>Journal of advanced nursing >Continuity of care and monitoring pain after discharge: patient perspective
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Continuity of care and monitoring pain after discharge: patient perspective

机译：出院后的连续护理和疼痛监测：患者角度

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Continuity of care and monitoring pain after discharge: patient perspective. Aim. This paper is a report of a study conducted to evaluate, from the patients' perspective, a Liaison and Continuity of Care Programme coordinating care provision between a hospital and primary care centres. Background. Promoting continuity of care between hospitals and primary care improves quality of care, patient satisfaction and decreases further hospitalizations. However, inadequate pain management is common after discharge. Method. A sample of patients from the Liaison and Continuity of Care Programme were included in a longitudinal study in 2007. We conducted standardized telephone interviews at 24 hours, 7 days, 1 and 3 months after discharge. Outcome measures included readmission, time between hospital discharge and readmission, information level at discharge, patient satisfaction, queries about care and information related to perceived state of health and pain. Results. Eighty-three adult patients (average age 69.3, 50.6% males) who needed continued care at discharge were followed. Ten participants died during follow-up, and seven required readmission. A total of 494% of patients stated that they had understood the information given at discharge very well or perfectly. At 24 hours after discharge, 30% already had doubts about their state of health and the management of their condition. In relation to perceived health, only 25.3% stated that this was good or very good. Prevalence of pain 24-hours after discharge was 58.3% in surgical patients and 17.1% in other patients. Conclusion. The preparation and education of patients and family members should be improved before discharge, and appropriate written information must be given, especially if a patient has pain or requires complex care.
机译：出院后的连续护理和疼痛监测：患者角度。目标。本文是一项研究报告，旨在从患者的角度评估协调医院和初级护理中心之间的护理服务的联络和连续性护理计划。背景。促进医院与初级保健之间的护理连续性，可以提高护理质量，患者满意度并减少进一步的住院治疗。但是，出院后疼痛管理不充分是很常见的。方法。 2007年的一项纵向研究包括来自“联络与连续性护理计划”的患者样本。我们在出院后的24小时，7天，1和3个月进行了标准化电话采访。结果指标包括再入院，出院至再入院之间的时间，出院时的信息水平，患者满意度，有关护理的询问以及与感知的健康和疼痛状态有关的信息。结果。随访了出院时需要继续护理的八十三名成人患者（平均年龄69.3，男性50.6％）。随访期间有10名参与者死亡，需要重新入院的有7名。共有494％的患者表示，他们对出院时提供的信息非常了解或完全理解。出院后24小时，已有30％的人对其健康状况和状况管理产生怀疑。关于感知健康，只有25.3％的人表示这是好事或非常好。出院后24小时疼痛的发生率在外科患者中为58.3％，在其他患者中为17.1％。结论。出院前应改善患者及其家属的准备和教育，并且必须提供适当的书面信息，尤其是在患者疼痛或需要复杂护理的情况下。

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