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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2.	李峰, 李刚荣, 汪鹏. 区域医疗服务模式在医疗物联网中扮演的角色. 中国数字医学, 2013(7): 41-44.
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13.	杨骅, 郝建玲, 张红卫, 等. 拓展门诊服务外延开展一体化住院前检查服务. 中国医院, 2016, 20(4): 12-13.
14.	邱田, 刘子嘉, 黄宇光, 等. 预康复在加速术后康复中的价值. 临床麻醉学杂志, 2018, 34(3): 296-298.
15.	刘子嘉, 黄宇光. “三联预康复”: ERAS的术前优化. 医学与哲学, 2017, 38(12): 11-14.
16.	何英剑, 李晓婷, 李金锋, 等. 大数据时代信息化管理平台在医院专科建设中的价值. 中国医院管理, 2017, 37(3): 64-65.
17.	周丽萍, 郝建玲, 刘燕芳, 等. 缩短中心患者接待时间的院前检查. 解放军医院管理杂志, 2016, 23(5): 428-430.
18.	吴欣娟. 人文关怀: 护理发展新篇章. 护理管理杂志, 2018, 18(5): 305-307.
19.	朱昀菁. 浅谈护士的心理品质与培养. 湖南中医药导报, 2003, 9(4): 62-63.
20.	秦月兰, 邹颢宇, 刘艳辉, 等. 人文护理要素在优化护理服务流程中的应用研究. 护理学报, 2015(21): 13-16.

1. 李峰, 汪鹏. 院前检查中心实现原理及其作用. 中国数字医学, 2015(3): 11-13.
2. 李峰, 李刚荣, 汪鹏. 区域医疗服务模式在医疗物联网中扮演的角色. 中国数字医学, 2013(7): 41-44.
3. 余江, 周来新, 张云福, 等. 开展院前检查合理缩短术前平均住院日的做法. 中国医院管理, 2016, 36(10): 40-41.
4. 沈吉萍, 陈珏, 周丽萍, 等. 开展院前检查服务缩短患者术前住院日的效果. 解放军护理杂志, 2015(20): 64-65.
5. 荚卫东. 加速康复外科多学科团队建设. 中华外科杂志, 2018, 56(1): 14-17.
6. 王蕾, 王宇, 杜白茹. 院前检查手术满意度调查与分析. 护理研究, 2014(27): 3355-3355,3356.
7. 陈向明. 质的研究方法与社会科学研究. 北京:教育科学出版社, 2000: 401-408.
8. Colaizzip PF. Psychological research as the phenomenologistviewsit. New York:Oxford University Press, 1979: 48-71.
9. 谢雁鸣, 廖星. 医学研究领域里定性访谈法的质量控制与评估. 中西医结合学报, 2008, 6(7): 668-673.
10. 吴光哲, 周俭平, 刘宝军. 患者期望值管理及医患关系改善对策. 解放军医院管理杂志, 2015(7): 612-614.
11. 毛瑛, 谢涛, 宁伟. 医疗服务质量对患者医患关系感知的影响—基于患者满意度的中介效应分析. 西安交通大学学报(社会科学版), 2020, 40(6): 119-127.
12. 杜容娇, 郭兰, 王振鹏. 预见性护理在骨科护理中的应用. 中国护理管理, 2013, 13(增1): 75-76.
13. 杨骅, 郝建玲, 张红卫, 等. 拓展门诊服务外延开展一体化住院前检查服务. 中国医院, 2016, 20(4): 12-13.
14. 邱田, 刘子嘉, 黄宇光, 等. 预康复在加速术后康复中的价值. 临床麻醉学杂志, 2018, 34(3): 296-298.
15. 刘子嘉, 黄宇光. “三联预康复”: ERAS的术前优化. 医学与哲学, 2017, 38(12): 11-14.
16. 何英剑, 李晓婷, 李金锋, 等. 大数据时代信息化管理平台在医院专科建设中的价值. 中国医院管理, 2017, 37(3): 64-65.
17. 周丽萍, 郝建玲, 刘燕芳, 等. 缩短中心患者接待时间的院前检查. 解放军医院管理杂志, 2016, 23(5): 428-430.
18. 吴欣娟. 人文关怀: 护理发展新篇章. 护理管理杂志, 2018, 18(5): 305-307.
19. 朱昀菁. 浅谈护士的心理品质与培养. 湖南中医药导报, 2003, 9(4): 62-63.
20. 秦月兰, 邹颢宇, 刘艳辉, 等. 人文护理要素在优化护理服务流程中的应用研究. 护理学报, 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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