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Discharge Planning in Saudi Arabia Following Limb Injury

出版	Monash University, 2015
URL	http://books.google.com.hk/books?id=IR_gswEACAAJ&hl=&source=gbs_api

註釋Aim: The aim of this study is to explore the adequacy and appropriateness of approaches to discharge planning for patients with non-major limb injury (NMLI) in Saudi Arabia (SA) hospitals, and identify factors that could lower the number of patients making unplanned returns to Emergency Departments (ED), exploring how they fit together in a system, to determine which models or systems or philosophies fit well with the Saudi context. Background: Trauma is the leading cause of morbidity, mortality and long term disability in SA and is associated with the highest number of hospitalizations, ED presentations and out-patient visits. Patients with NMLI in particular may be unable to stand or walk or complete other activities of daily living (ADLs) independently, when discharged. One of the most important outcomes of discharge planning for those with limb injury is the patient's access to adequate and appropriate information as a resource for making health related decisions. Research indicates that one possible pathway to a discharge without adverse events would be through systematic and evidence-based practice of the discharge process. Design: A mixed method sequential explanatory design was utilized for the study. In Phase One, a convenience sample of 302 participants with NMLI were invited to complete an anonymous questionnaire when they presented to EDs and Out Patients Departments (OPD) in four SA hospitals. Phase Two involved face-to-face semi-structured interviews with 10 Orthopedic nurses at the same participating hospitals. Results: The most common cause of limb injury in this study was falls (n= 139) 46% followed by pedestrians injured during Road Traffic Accidents (RTA) (n=78) 25.8%. Almost half (n=139) 46% of participants had unplanned returns to ED. The causes behind returning vary; however, cast complications (n= 105) 34.5% and pain (n= 24) 8% were the most common causes for those patients re-presenting. Frequencies increased as age increased, and decreased as discharge preparation increased (P