目的 探究慢性心力衰竭（CHF）再入院患者对出院前的准备服务需求，为制订出院准备服务计划提供可靠的证据支持。 方法 基于现象学研究方法，采用目的抽样法选取2023年2—4月黑龙江中医药大学附属第一医院的12例CHF再入院患者进行半结构式访谈，用Colaizzi 7步分析法对资料进行分析。 结果 12例患者中，男6例，女6例，年龄53~85岁。CHF再入院患者的出院准备服务需求可以归纳为生理、心理、社会3个大主题，包含6个小主题：提升自我管理技能的需求、康复锻炼的需求、改善负性情绪的需求、提升健康教育的需求、居家护理改善需求、卫生资源服务的需求。 结论 CHF再入院患者自我管理知识与技能、家庭照护需求、专业人员指导需求以及基层卫生资源转介服务信息需求较大，护理人员应重点评估患者此类需求，以制订个性化的CHF患者出院准备服务计划。 Objective The aim was to explore the needs of patients readmitted with chronic heart failure (CHF) for pre-discharge preparation services and to provide reliable evidence to support the development of a discharge preparation service plan. Methods The research was based on the phenomenology research method. Using a purposive sampling method, 12 readmitted patients with CHF from the First Hospital of Heilongjiang University of Traditional Chinese Medicine were selected and interviewed in a semi-structured manner between February and April 2023, and the data were analyzed using the Colaizzi seven-step analysis. Results Among 12 patients, 6 males, 6 females, aged 53 to 85 years old. The discharge preparation service needs of readmitted patients with CHF can be categorised into 3 major themes of physiological-psychological-social, containing 6 sub-themes: the need to improve self-management skills, the need for rehabilitation and exercise, the need for improvement of negative emotions, the need for improvement of health education, the need for improvement of home care, and the need for health resource services. Conclusions Patients readmitted with CHF have greater needs for self-management knowledge and skills, family care needs, professional guidance needs, and information on referral services from primary health resources, and nursing staff should focus on assessing such needs of patients in order to develop individualized plans for discharge preparation services for patients with CHF.
The demand for discharge preparation services for patients readmitted to hospital with chronic heart failure-a qualitative research
Objective The aim was to explore the needs of patients readmitted with chronic heart failure (CHF) for pre-discharge preparation services and to provide reliable evidence to support the development of a discharge preparation service plan. Methods The research was based on the phenomenology research method. Using a purposive sampling method, 12 readmitted patients with CHF from the First Hospital of Heilongjiang University of Traditional Chinese Medicine were selected and interviewed in a semi-structured manner between February and April 2023, and the data were analyzed using the Colaizzi seven-step analysis. Results Among 12 patients, 6 males, 6 females, aged 53 to 85 years old. The discharge preparation service needs of readmitted patients with CHF can be categorised into 3 major themes of physiological-psychological-social, containing 6 sub-themes: the need to improve self-management skills, the need for rehabilitation and exercise, the need for improvement of negative emotions, the need for improvement of health education, the need for improvement of home care, and the need for health resource services. Conclusions Patients readmitted with CHF have greater needs for self-management knowledge and skills, family care needs, professional guidance needs, and information on referral services from primary health resources, and nursing staff should focus on assessing such needs of patients in order to develop individualized plans for discharge preparation services for patients with CHF.
Patient readmissionQualitative researchChronic heart failureDischarge preparationNeedsContinuity of care
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