PDF(Pubmed)
Abstract：
BACKGROUND: Meeting inpatients\' psychosocial care needs is essential for their wellbeing, recovery, and positive experiences. This study aimed to describe and compare surgical inpatients\' subjective perceptions of the importance of fundamental psychosocial and overall care received.
METHODS: A descriptive study with a convenient sample was conducted from September 2019 to April 2020. A total of 194 surgical inpatients from Norway and Denmark answered a perioperative user participation questionnaire on the day of discharge. The questionnaire was previously face- and content validated. The questionnaire assessed patients\' sociodemographic characteristics and four dimensions of fundamental care domains: Psychosocial, Relational, Physical, and System level. This study reports the results from the psychosocial domain. Descriptive statistics including frequencies, percentages, means, and standard deviations were used to analyze background information variables. The congruency between participants\' expectations of and experiences with psychosocial care is presented.
RESULTS: The inpatients expected (and experienced) the healthcare personnel to treat them with respect and dignity, and to be involved and informed throughout their perioperative care. The average ratings regarding these aspects of psychosocial care needs were 72.1-93.8%. There was congruency between patients\' perceptions of the subjective importance (SI) of psychosocial fundamental care and their perceived reality (PR) of care. Congruency between high SI and high PR ranged from 59.1 to 92.2%, and congruency between low SI and low PR ranged from 0 to 6.6%. Incongruency between SI and PR varied between 5.9 and 39.6% and was mainly related to higher PR than SI. We found no association between education level, sex, length of stay, age, and patient expectations of or experiences with psychosocial care needs.
CONCLUSIONS: Surgical inpatients in Norway and Denmark experience respectful and dignified treatment, and they feel involved and informed in their perioperative care. It is important to include patient perspectives in further research to avoid missed care and disconnection between what patients prefer and what healthcare personnel plan to do. Understanding patient preferences might also lead to less stress and workload for healthcare personnel.
METHODS: A descriptive study with a convenient sample was conducted from September 2019 to April 2020. A total of 194 surgical inpatients from Norway and Denmark answered a perioperative user participation questionnaire on the day of discharge. The questionnaire was previously face- and content validated. The questionnaire assessed patients\' sociodemographic characteristics and four dimensions of fundamental care domains: Psychosocial, Relational, Physical, and System level. This study reports the results from the psychosocial domain. Descriptive statistics including frequencies, percentages, means, and standard deviations were used to analyze background information variables. The congruency between participants\' expectations of and experiences with psychosocial care is presented.
RESULTS: The inpatients expected (and experienced) the healthcare personnel to treat them with respect and dignity, and to be involved and informed throughout their perioperative care. The average ratings regarding these aspects of psychosocial care needs were 72.1-93.8%. There was congruency between patients\' perceptions of the subjective importance (SI) of psychosocial fundamental care and their perceived reality (PR) of care. Congruency between high SI and high PR ranged from 59.1 to 92.2%, and congruency between low SI and low PR ranged from 0 to 6.6%. Incongruency between SI and PR varied between 5.9 and 39.6% and was mainly related to higher PR than SI. We found no association between education level, sex, length of stay, age, and patient expectations of or experiences with psychosocial care needs.
CONCLUSIONS: Surgical inpatients in Norway and Denmark experience respectful and dignified treatment, and they feel involved and informed in their perioperative care. It is important to include patient perspectives in further research to avoid missed care and disconnection between what patients prefer and what healthcare personnel plan to do. Understanding patient preferences might also lead to less stress and workload for healthcare personnel.
摘要：
背景：满足住院患者的心理社会护理需求对他们的健康至关重要，recovery,积极的经验。这项研究旨在描述和比较手术住院患者对基本社会心理和整体护理重要性的主观看法。
方法：2019年9月至2020年4月进行了一项方便样本的描述性研究。来自挪威和丹麦的194名外科住院患者在出院当天回答了围手术期用户参与问卷。该问卷以前是经过面部和内容验证的。问卷评估了患者的社会人口统计学特征和基础护理领域的四个维度：社会心理，关系,Physical,和系统级。这项研究报告了来自社会心理领域的结果。描述性统计，包括频率，百分比,means,和标准偏差用于分析背景信息变量。介绍了参与者对心理社会护理的期望和经验之间的一致性。
结果：住院患者期望（并有经验）医护人员尊重和有尊严地对待他们，并在整个围手术期护理中参与和告知。关于心理社会护理需求的这些方面的平均评分为72.1-93.8％。患者对心理社会基础护理的主观重要性（SI）的看法与其对护理的感知现实（PR）之间存在一致性。高SI和高PR之间的一致性范围为59.1％至92.2％，低SI和低PR的一致性范围为0至6.6%。SI和PR之间的不一致在5.9％至39.6％之间，主要与PR高于SI有关。我们发现教育水平之间没有关联，性别,逗留时间,年龄,以及患者对心理社会护理需求的期望或体验。
结论：挪威和丹麦的外科住院患者受到尊重和有尊严的治疗，他们感到参与并了解他们的围手术期护理。重要的是在进一步的研究中纳入患者观点，以避免错过护理和患者偏好与医护人员计划做什么之间的脱节。了解患者的偏好也可能会减少医护人员的压力和工作量。
方法：2019年9月至2020年4月进行了一项方便样本的描述性研究。来自挪威和丹麦的194名外科住院患者在出院当天回答了围手术期用户参与问卷。该问卷以前是经过面部和内容验证的。问卷评估了患者的社会人口统计学特征和基础护理领域的四个维度：社会心理，关系,Physical,和系统级。这项研究报告了来自社会心理领域的结果。描述性统计，包括频率，百分比,means,和标准偏差用于分析背景信息变量。介绍了参与者对心理社会护理的期望和经验之间的一致性。
结果：住院患者期望（并有经验）医护人员尊重和有尊严地对待他们，并在整个围手术期护理中参与和告知。关于心理社会护理需求的这些方面的平均评分为72.1-93.8％。患者对心理社会基础护理的主观重要性（SI）的看法与其对护理的感知现实（PR）之间存在一致性。高SI和高PR之间的一致性范围为59.1％至92.2％，低SI和低PR的一致性范围为0至6.6%。SI和PR之间的不一致在5.9％至39.6％之间，主要与PR高于SI有关。我们发现教育水平之间没有关联，性别,逗留时间,年龄,以及患者对心理社会护理需求的期望或体验。
结论：挪威和丹麦的外科住院患者受到尊重和有尊严的治疗，他们感到参与并了解他们的围手术期护理。重要的是在进一步的研究中纳入患者观点，以避免错过护理和患者偏好与医护人员计划做什么之间的脱节。了解患者的偏好也可能会减少医护人员的压力和工作量。
