#护理SCI文献解读# 从家庭护理角度确定出院准备度：来自患者和主要照顾者的观点#《Geriatric Nursing》
小班长一直认为：出院准备度是一个不错的主题，之前一直在社群推荐。但是，据我了解，很多老师对于这个主题还是有一些疑问，比如，出院准备度与过渡期是一个意思？不同患者的出院准备度的评估是否有一个普适性的量表？等等。
如果你还有以上的问题，建议还是多看一下出院准备度的相关文献，同时也可以去社群里面翻一下之前的回答。
今天就借着这个主题继续给大家分享一篇文献。文献源自《Geriatric Nursing》1-2月期：O'Connor M, Moriarty H, Schneider A, et al. Patients’ and caregivers’ perspectives in determining discharge readiness from home health[J]. Geriatric Nursing, 2021,42(1):151-158.
从家庭护理角度确定出院准备度：来自患者和主要照顾者的观点
这是一篇定性研究，内容比较简单，但是研究的过程和结果确实可以给我们在编制出院准备度量表时提供一些启发。随附摘要翻译：
ABSTRACT
There are no national, empirically derived clinical decision support tools to assist the interprofessional home health team in determining readiness for discharge from skilled home health. Eliciting patient and family caregiver perspectives around readiness for home health discharge is integral to developing tools that address their needs in this decision-making process.
The purpose of this study was to describe the factors home health patients and their family caregivers perceive as critical when determining readiness for discharge from services.
A qualitative descriptive study was conducted among skilled home health recipients and their family caregivers who were either recently discharged or recertified for additional care from two different Medicare-certified skilled home health agencies.
Nine themes emerged: self-care ability, functional status, status of condition(s) and symptoms, presence of a caregiver, support for the caregiver, connection to community resources/support, safety needs of the home environment addressed, adherence to the prescribed regimen, and care coordination.
摘要
研究背景：出院准备度是一个涉及多个人员的决策性过程。但是，目前没有一个全国性、经验性的临床决策辅助工具协助家庭健康小组确定患者出院准备度情况。因此，在这一决策过程中，向患者及主要照顾者了解关于患者出院准备度的观点，对于开发解决其出院准备度需求工具是必不或缺的。
研究目的：在确定出院时，从患者及其主要照顾者角度，探讨其认为影响出院准备度的关键因素。
研究对象：出院之后保持健康良好的患者和主要照顾者
研究结果：共提炼出9个主题，具体包括自我护理能力、功能状态、环境状态、症状、照顾者情况、对照顾者的支持、与社区资源/支持的联系、解决家庭环境的安全需求、遵守规定的治疗方案、护理协调
具体的大家可以去看一下原文，希望能给大家一点启发和提示。
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