英文摘要 |
The aims of the intervention program were to promote discharge planning of end-stage renal disease (ESRD), to enhance comprehension of nursing care, to provide guidance to patients and caregivers, to increase satisfaction level, and to decrease length of stay. The program took place from Sep. 10 to Oct. 21 in 2004. Data were collected from ESRD patients, caregivers, and nursing staff in nephrology department. Several problems were identified after interviewing and observing patients as well as reviewing charts. The analysis indicated that the completeness of discharge planning was 54.9%, inability to screen high risk group and practice nursing guide was 84.3%, inpatient nursing guide was 52.1%, discharge nursing guild was 3.4%, patients’ and caregivers’ understanding of nursing care was 69.2%, and satisfaction level was 74.6%. The intervention program included revised discharge planning of ESRD, formal record of nursing guide, assistant device of nursing guide, monitoring the comprehension of planning, weekly screening and evaluation of high risk groups. The results showed that the completeness of practice increased to 90.7%, completeness of screening increased to 100.0%, practice guide increased to 97%, inpatient nursing record increased to 91.2%, discharge nursing record increased to 72.6%, understanding of nursing guide increased to 96.7%, and satisfaction level increased to 84.5%. The intervention program, in conclusion, enhanced practice of discharge planning of nursing staff, promoted self-care ability, and increased satisfaction of patients. |