Problems and Unmet Needs of Medical and Surgical Patients after Hospital Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/159757
Type:
Presentation
Title:
Problems and Unmet Needs of Medical and Surgical Patients after Hospital Discharge
Abstract:
Problems and Unmet Needs of Medical and Surgical Patients after Hospital Discharge
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Holland, Diane, PhD
P.I. Institution Name:Mayo Clinic
Title:Nursing Research
Contact Address:Eisenberg SL-41, 201 West Center Street, Rochester, MN, 55902, USA
Contact Telephone:507-255-1036
Co-Authors:D.E. Holland, Nursing Research, Mayo Clinic, Rochester, MN; D.E. Holland, K.H. Bowles, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA; P. Mistiaen, , Netherlands Institute for Health Services
Background: Adverse outcomes related to hospital discharge planning have been linked to unidentified and, therefore, unmet continuing care needs. A questionnaire that measures problems and unmet needs, based on a theoretical model of problems after discharge, was recently translated into English for use in discharge planning studies. Objectives: The purpose of this study was to identify what types and quantity of problems and unmet needs were reported by medical and surgical patients returning to their homes after hospital discharge. Design: The study used a descriptive, repeated measures survey design. Participants were enrolled while hospitalized. Questionnaires were completed one week and one month after. Subjects: A convenience sample of 102 cognitively intact adults hospitalized for either medical or surgical reasons at two, large, Midwestern, teaching hospitals was assembled. Patients were excluded if they were placed in facility care post-discharge. Measures: Questionnaires utilized for data collection included the newly translated and tested Problems After Discharge Questionnaire, the Nottingham Health Profile, and the COOP/WONCA functional assessment Charts. Results: Eighty-six participants (44 surgical patients) returned both questionnaires on average at 8.7 and 32.9 days after discharge (return rate = 66.1%). One week after discharge, 75% wanted more information than they received during their hospital stay, 86.1% reported at least one physical complaint, 87.2% were receiving assistance largely from family members and friends, and 24.4% had at least one unmet need. Surgical patients reported more problems than medical patients in all categories at one week post-discharge except for psychological complaints. Problems in all categories decreased in one month's time for both groups, except surgical patients reported an increase in psychological complaints at one month than at one week post-discharge. Despite the high percentage of patients reporting problems and unmet needs, only four were referred to home health care. Conclusions: The results of this study informs hospital discharge planning by illuminating the nature and extent of problems and unmet needs experienced by both medical and surgical patients one week and one month after discharge.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleProblems and Unmet Needs of Medical and Surgical Patients after Hospital Dischargeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159757-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Problems and Unmet Needs of Medical and Surgical Patients after Hospital Discharge</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Holland, Diane, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mayo Clinic</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Research</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Eisenberg SL-41, 201 West Center Street, Rochester, MN, 55902, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">507-255-1036</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">holland.diane@mayo.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">D.E. Holland, Nursing Research, Mayo Clinic, Rochester, MN; D.E. Holland, K.H. Bowles, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA; P. Mistiaen, , Netherlands Institute for Health Services</td></tr><tr><td colspan="2" class="item-abstract">Background: Adverse outcomes related to hospital discharge planning have been linked to unidentified and, therefore, unmet continuing care needs. A questionnaire that measures problems and unmet needs, based on a theoretical model of problems after discharge, was recently translated into English for use in discharge planning studies. Objectives: The purpose of this study was to identify what types and quantity of problems and unmet needs were reported by medical and surgical patients returning to their homes after hospital discharge. Design: The study used a descriptive, repeated measures survey design. Participants were enrolled while hospitalized. Questionnaires were completed one week and one month after. Subjects: A convenience sample of 102 cognitively intact adults hospitalized for either medical or surgical reasons at two, large, Midwestern, teaching hospitals was assembled. Patients were excluded if they were placed in facility care post-discharge. Measures: Questionnaires utilized for data collection included the newly translated and tested Problems After Discharge Questionnaire, the Nottingham Health Profile, and the COOP/WONCA functional assessment Charts. Results: Eighty-six participants (44 surgical patients) returned both questionnaires on average at 8.7 and 32.9 days after discharge (return rate = 66.1%). One week after discharge, 75% wanted more information than they received during their hospital stay, 86.1% reported at least one physical complaint, 87.2% were receiving assistance largely from family members and friends, and 24.4% had at least one unmet need. Surgical patients reported more problems than medical patients in all categories at one week post-discharge except for psychological complaints. Problems in all categories decreased in one month's time for both groups, except surgical patients reported an increase in psychological complaints at one month than at one week post-discharge. Despite the high percentage of patients reporting problems and unmet needs, only four were referred to home health care. Conclusions: The results of this study informs hospital discharge planning by illuminating the nature and extent of problems and unmet needs experienced by both medical and surgical patients one week and one month after discharge.</td></tr></table>en_GB
dc.date.available2011-10-26T22:18:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:18:23Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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