一个共同设计和共同制作的以患者为中心的出院表单对沟通和理解的影响
Aiden Cushnahan1, Boon Shih Sie1, Vikas Wadhwa1,2
1Department of Medicine, Eastern Health, Monash and Deakin Universities, Melbourne, Victoria, Australia.
Singapore medical journal
|July 5, 2024
概括
以患者为中心的出院表格 (PCDF) 显著改善了患者对医院管理和出院后计划的理解. 这种增强的沟通导致了更好的患者召回和对护理的满意度.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者体验患者体验
- 医学教育 医学教育
背景情况:
- 医疗保健中的沟通不良会导致不良结果和患者不满.
- 疾病和药物的认知影响可能会损害患者的理解.
- 过度估计患者的健康素养可能会导致不理想的出院说明.
研究的目的:
- 评估一个共同制作和代码设计的以患者为中心的出院表格 (PCDF) 是否提高了患者对诊断,住院治疗和出院后计划的理解.
主要方法:
- 111名患者被随机分为两组,分别在通用医学病房.
- 59名患者接受了PCDF,而52人作为对照.
- 一个盲目电话调查评估理解大约6天后出院.
主要成果:
- 接受PCDF的患者对医院管理 (P < 0.001) 和出院后计划 (P < 0.001) 的理解显著提高.
- 两组之间对诊断的理解没有显著差异.
- 接受PCDF治疗的患者报告说,他们对整体护理的理解和记忆得到了改善.
结论:
- PCDF显著改善了患者对医院管理和出院后指令的理解.
- PCDF与高患者满意度和改善整体护理体验有关.
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