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以人为本的住院护理——一项在内科医学背景下的准实验研究;
Author(s) -
Jakobsson Sofie,
Eliasson Björn,
Andersson Eva,
Johannsson Gudmundur,
Ringström Gisela,
Simrén Magnus,
Jakobsson Ung Eva
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13953
Subject(s) - medicine , intervention (counseling) , context (archaeology) , health care , patient satisfaction , medical record , medline , situational ethics , inpatient care , family medicine , nursing , psychology , paleontology , social psychology , political science , law , economics , biology , economic growth
Aim The aim of this study was to evaluate effects of person‐centred inpatient care on care processes in terms of satisfaction with care and person‐centred content in medical records, and to evaluate effects on self‐reported health and self‐efficacy. Background Internal medicine inpatient care is complex, covering patients varying in age, medical conditions, health status, and other aspects. There has been limited research on the impact of person‐centred care (PCC) on satisfaction with care and health outcomes in internal medicine care environments regardless of diagnosis and care pathway. Design A quasi‐experimental study with pre‐ and postmeasurements. Methods Adult patients admitted to an internal medicine inpatient unit were consecutively included over 16 weeks in 2014 and 24 weeks in 2015–2016. Data were collected before a person‐centred inpatient care intervention ( N = 204) and 12 months after the intervention was implemented ( N = 177). Data on satisfaction with care and self‐reported health were collected at discharge and medical records were reviewed. The intervention included systematically applied person‐centred assessment, health plans, and persistent PCC. Results After the intervention, patients rated higher satisfaction with care regarding essential components of PCC and more patients had received effective pain relief. There were no differences in information on self‐care or medications, self‐rated health, or self‐efficacy. Conclusion Care focused on the foundations of person‐centredness seems to enhance both patients’ perceptions of satisfaction and symptom management. Situational aspects such as care pathways should be considered when implementing person‐centred inpatient care. Trial registration: ClinicalTrials.gov, registration number: NCT03725813