Qualitative study on the experience and needs of orthopedic inpatients for pre-hospital examinations led by nurses_West China Medical Journal

Authors：

PENG Tao ¹ , HE Jie ² ,  ZHANG Yumei ¹

1. Department of Orthopedics, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, P. R. China;
2. Department of Orthopedics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400037, P. R. China;

Corresponding?author：

ZHANG Yumei, Email: zhangyumei19693@sina.com

Keywords：

Pre-hospital examination; Pre-rehabilitation; Program optimization; Qualitative research

DOI：

10.7507/1002-0179.202001023

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the experience and needs of orthopedic inpatients for pre-hospital examinations led by nurses, provide a reference for optimizing the pre-hospital examination procedures and improve the pre-hospital examination experience of patient. Methods Using the method of phenomenology, semi-structured in-depth interviews were conducted on 35 patients who attended the Department of Orthopedics of the Second Affiliated Hospital of Army Medical University from July to August 2018 and had undergone pre-hospital examinations. Colaizzi’s seven-step method was used to encode, analyze, organize, summarize, and refine topics. Results Patients’ experience and needs for pre-hospital examinations led by nurses could be divided into three major sections: attitudes and emotions, individualized pre-rehabilitation needs and pre-hospital examination feelings. Attitudes and emotions included high treatment expectations, feelings of loss, and some patients’ understanding of pre-hospital examinations. Individualized pre-rehabilitation needs included pre-rehabilitation needs with cardiopulmonary diseases, pre-rehabilitation needs with sleep dysfunction, nutritional conditioning needs, and medication safety needs. Patients’ feelings during pre-hospital examinations mainly included complicated procedures and staff attitudes that need to be improved. Conclusion Some links in the pre-hospital inspection process urgently need to be optimized. In pre-hospital examinations, it is necessary to focus on patient expectation management and predictive communication, improve multidisciplinary cooperation, formulate personalized pre-rehabilitation plans, optimize examination procedures, strengthen humanistic care, and improve patient experience.

Citation： PENG Tao, HE Jie, ZHANG Yumei. Qualitative study on the experience and needs of orthopedic inpatients for pre-hospital examinations led by nurses. West China Medical Journal, 2021, 36(10): 1387-1391. doi: 10.7507/1002-0179.202001023 Copy

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12.	杜容嬌, 郭蘭, 王振鵬. 預見性護理在骨科護理中的應用. 中國護理管理, 2013, 13(增1): 75-76.
13.	楊驊, 郝建玲, 張紅衛, 等. 拓展門診服務外延開展一體化住院前檢查服務. 中國醫院, 2016, 20(4): 12-13.
14.	邱田, 劉子嘉, 黃宇光, 等. 預康復在加速術后康復中的價值. 臨床麻醉學雜志, 2018, 34(3): 296-298.
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16.	何英劍, 李曉婷, 李金鋒, 等. 大數據時代信息化管理平臺在醫院專科建設中的價值. 中國醫院管理, 2017, 37(3): 64-65.
17.	周麗萍, 郝建玲, 劉燕芳, 等. 縮短中心患者接待時間的院前檢查. 解放軍醫院管理雜志, 2016, 23(5): 428-430.
18.	吳欣娟. 人文關懷: 護理發展新篇章. 護理管理雜志, 2018, 18(5): 305-307.
19.	朱昀菁. 淺談護士的心理品質與培養. 湖南中醫藥導報, 2003, 9(4): 62-63.
20.	秦月蘭, 鄒顥宇, 劉艷輝, 等. 人文護理要素在優化護理服務流程中的應用研究. 護理學報, 2015(21): 13-16.

1. 李峰, 汪鵬. 院前檢查中心實現原理及其作用. 中國數字醫學, 2015(3): 11-13.
2. 李峰, 李剛榮, 汪鵬. 區域醫療服務模式在醫療物聯網中扮演的角色. 中國數字醫學, 2013(7): 41-44.
3. 余江, 周來新, 張云福, 等. 開展院前檢查合理縮短術前平均住院日的做法. 中國醫院管理, 2016, 36(10): 40-41.
4. 沈吉萍, 陳玨, 周麗萍, 等. 開展院前檢查服務縮短患者術前住院日的效果. 解放軍護理雜志, 2015(20): 64-65.
5. 莢衛東. 加速康復外科多學科團隊建設. 中華外科雜志, 2018, 56(1): 14-17.
6. 王蕾, 王宇, 杜白茹. 院前檢查手術滿意度調查與分析. 護理研究, 2014(27): 3355-3355,3356.
7. 陳向明. 質的研究方法與社會科學研究. 北京:教育科學出版社, 2000: 401-408.
8. Colaizzip PF. Psychological research as the phenomenologistviewsit. New York:Oxford University Press, 1979: 48-71.
9. 謝雁鳴, 廖星. 醫學研究領域里定性訪談法的質量控制與評估. 中西醫結合學報, 2008, 6(7): 668-673.
10. 吳光哲, 周儉平, 劉寶軍. 患者期望值管理及醫患關系改善對策. 解放軍醫院管理雜志, 2015(7): 612-614.
11. 毛瑛, 謝濤, 寧偉. 醫療服務質量對患者醫患關系感知的影響—基于患者滿意度的中介效應分析. 西安交通大學學報(社會科學版), 2020, 40(6): 119-127.
12. 杜容嬌, 郭蘭, 王振鵬. 預見性護理在骨科護理中的應用. 中國護理管理, 2013, 13(增1): 75-76.
13. 楊驊, 郝建玲, 張紅衛, 等. 拓展門診服務外延開展一體化住院前檢查服務. 中國醫院, 2016, 20(4): 12-13.
14. 邱田, 劉子嘉, 黃宇光, 等. 預康復在加速術后康復中的價值. 臨床麻醉學雜志, 2018, 34(3): 296-298.
15. 劉子嘉, 黃宇光. “三聯預康復”: ERAS的術前優化. 醫學與哲學, 2017, 38(12): 11-14.
16. 何英劍, 李曉婷, 李金鋒, 等. 大數據時代信息化管理平臺在醫院專科建設中的價值. 中國醫院管理, 2017, 37(3): 64-65.
17. 周麗萍, 郝建玲, 劉燕芳, 等. 縮短中心患者接待時間的院前檢查. 解放軍醫院管理雜志, 2016, 23(5): 428-430.
18. 吳欣娟. 人文關懷: 護理發展新篇章. 護理管理雜志, 2018, 18(5): 305-307.
19. 朱昀菁. 淺談護士的心理品質與培養. 湖南中醫藥導報, 2003, 9(4): 62-63.
20. 秦月蘭, 鄒顥宇, 劉艷輝, 等. 人文護理要素在優化護理服務流程中的應用研究. 護理學報, 2015(21): 13-16.

West China Medical Journal

Qualitative study on the experience and needs of orthopedic inpatients for pre-hospital examinations led by nurses

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