Person‐centred inpatient care – A quasi‐experimental study in an internal medicine context

Aim The aim of this study was to evaluate effects of person‐centred inpatient care on care processes in terms of satisfaction with care and person‐centred content in medical records, and to evaluate effects on self‐reported health and self‐efficacy. Background Internal medicine inpatient care is complex, covering patients varying in age, medical conditions, health status, and other aspects. There has been limited research on the impact of person‐centred care (PCC) on satisfaction with care and health outcomes in internal medicine care environments regardless of diagnosis and care pathway. Design A quasi‐experimental study with pre‐ and postmeasurements. Methods Adult patients admitted to an internal medicine inpatient unit were consecutively included over 16 weeks in 2014 and 24 weeks in 2015–2016. Data were collected before a person‐centred inpatient care intervention (N = 204) and 12 months after the intervention was implemented (N = 177). Data on satisfaction with care and self‐reported health were collected at discharge and medical records were reviewed. The intervention included systematically applied person‐centred assessment, health plans, and persistent PCC. Results After the intervention, patients rated higher satisfaction with care regarding essential components of PCC and more patients had received effective pain relief. There were no differences in information on self‐care or medications, self‐rated health, or self‐efficacy. Conclusion Care focused on the foundations of person‐centredness seems to enhance both patients’ perceptions of satisfaction and symptom management. Situational aspects such as care pathways should be considered when implementing person‐centred inpatient care. Trial registration: ClinicalTrials.gov, registration number: NCT03725813 目的; 本研究在于从医疗记录中护理满意度和以人为本的内容方面评估以人为本的住院护理对护理过程的影响,并评估对自我报告式健康和自我效能的影响。 背景; 内科医学住院护理是复杂的,涵盖不同年龄、医疗条件、健康状况等方面的患者。无论诊断和护理途径如何,关于以人为本型护理(简称为“PCC”)影响内科医学护理环境中护理满意度和健康结果的研究一直有限。 设计 一项带有前后测量结果的准实验研究。 方法 2014年和2015至2016年分别连续性16周和24周纳入了内科医学住院患者。在以人为本型住院护理干预前(204例)和干预实施后12个月(177例)收集了数据。出院时收集了关于护理满意度和自我报告式健康的数据,并审查了医疗记录。干预措施包括系统应用性以人为本型评估、健康计划和持续的以人为本型护理。 结果 干预后,患者对以人为本型护理基本组成部分的护理满意度较高,更多患者获得了有效的疼痛缓解。关于自我护理或药物治疗、自测健康或自我效能的信息之间没有差异。 结论 注重以人为本理论根据的护理似乎增强了患者对满意度和症状管理的认知。实施以人为本的住院护理时,应考虑护理路径等情境方面。 试验注册 ClinicalTrials.gov,注册号:NCT03725813