中風病人具身體功能障礙者出院準備服務之執行評估：病人的角度: Patient perspectives

Objectives: To explore patients' perception of discharge planning and uncover the factors associated with it. Methods: The study sample were 489 stroke patients discharged from seven different hospitals in Taipei. To survey these patients' perceptions of six important indicators including patients being informed before the discharge date, premature or retardant time being discharged, discussion of post-discharge care with patients or their caregivers, providing health education to patients or their caregivers, referral to post-discharged long-term care services, following discharged patients up. Results: More than 70.0% of patients considered the hospital staff had discussed post-discharge care with them carefully or perceived they had been provided with health education. More than three-fourth of patients believed that hospitals had inadequately handled the referral of post-discharged long-term care services. There were 58.5% patients informed two days before. As to the timing of discharge, 68.1% of patients thought it was suitable. The follow-up aspect of our study was quite uniform 94.1% of patients perceived no follow-up. Analyzed factors associated with perception of each service, hospital and physical function disability were found to be significant factors after controlling for other variables. The odds ratio of hospitals over the B hospital was less than one and reached a significant level that means the service provided by B hospital was more acceptable than for the other hospitals. In the facet of physical function disability, the odds ratios of moderate disability over minor disability and severe disability over minor disability were larger than one and significant. Conclusions: The result showed patients' pessimistic perception concerning the quality of discharge planning. The discharged patients from different hospitals have dissimilar perceptions of discharge planning services provided by hospitals. The more severe the disability, the stronger the perception of having discharge planning services being provide by the hospital. Hospitals may choose patients and provide the different discharge planning service according to the different disability levels.