https://scholars.lib.ntu.edu.tw/handle/123456789/640291
標題: | Development of a patient-and family-centered discharge planning tool: a pilot study at a regional hospital in central Taiwan 以病患與家屬為中心的出院準備工具之開發:以台灣中部某區域醫院為前導測試 |
作者: | Chang, Yu Ping Yu, Yang Hao KUO-PIAO CHUNG YA-MEI CHEN Tung, Yu Chi Kuo, Nien Chen Yu, Tsung Hsien Yang, Ming Ting Chiu, Wan Yu Chang, Tzu Yen Lin, Tse Hung |
關鍵字: | discharge planning | patient and family-centered | tool test | 公開日期: | 1-十月-2023 | 出版社: | Taiwan Public Health Association | 卷: | 42 | 期: | 5 | 起(迄)頁: | 478 | 來源出版物: | Taiwan Journal of Public Health | 摘要: | Objectives: In this pilot study, we developed a patient and family-centered discharge planning tool (PFC-DP) for assessing hospital discharge readiness from the perspectives of Taiwanese patients and their families. Methods: From a hospital in central Taiwan, we enrolled patients aged ≥50 years. Their current self-care status and requirement for additional support before discharge were assessed using the newly developed PFC-DP tool. A follow-up assessment was conducted 30 days after discharge to obtain data on relevant health outcomes. Using these data, the validity and reliability of our tool were examined. Results: In total, 200 patients completed pilot surveys. The Cronbach’s alpha values of items on participant characteristics and on the requirement for additional support were 0.71–0.95 and 0.93–0.98, respectively. A confirmatory factor analysis revealed the validity of the tool when it was formulated to have 31 questions across 6 domains (self-care information, health education, self-care ability, mobility, ability to complete household chores, and social support). Patients who had reported more difficulties in self-care ability (p < .01), mobility (p < .05), and ability to complete household chores (p < .05) had more readmissions and worse health outcomes after discharge. Furthermore, patients who had reported requiring more mobility support had more readmissions and worse mobility after discharge (p < .05). Conclusions: The PFC-DP tool is valid and reliable, and it can complement discharge planning and enhance post discharge health outcomes. Large-scale studies involving populations outside of Taiwan are warranted. (Taiwan J Public Health. 2023;42(5):478-493). |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/640291 | ISSN: | 10232141 | DOI: | 10.6288/TJPH.202310_42(5).112025 |
顯示於: | 健康政策與管理研究所 |
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