Öz
Bu çalışma cerrahi hastalarının taburculuk eğitiminden memnuniyet düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapıldı. Araştırma Haziran-Kasım 2024 tarihleri arasında gerçekleştirildi. Çalışmaya dahil edilme kriterlerini karşılayan toplam 138 hasta katıldı. Veriler Hasta Bilgi Formu ve Taburculuk Eğitimi Memnuniyet Ölçeği kullanılarak toplandı. Veri analizinde tanımlayıcı istatistikler, bağımsız örneklem t-testleri, tek yönlü ANOVA ve korelasyon testleri kullanıldı. Anlamlılık p<0,05 düzeyinde değerlendirildi. Hastaların ölçekten aldıkları toplam puan ortalaması 95,74±10,84 olarak belirlenmiş olup, çok yüksek düzeyde taburculuk eğitimi memnuniyetine işaret etmektedir. Hastaların %58,8'inin hekimden taburculuk eğitimi aldığı, %62'sinin taburculuk sonrası bireysel araştırma yaptığı ve %49,3'ünün bu araştırma için internet ve sosyal medyayı kullandığı saptandı. Sağlık çalışanı olma durumu memnuniyet düzeylerini etkileyen tek anlamlı değişken olarak belirlendi (p<0,05). Diğer değişkenlerin ölçek puanları üzerinde anlamlı bir etkisi bulunmadı (p>0,05). Çalışma, cerrahi hastalarının taburculuk eğitiminden yüksek oranda memnun olduğunu ve sağlık çalışanı olmanın bu memnuniyeti etkileyen önemli bir faktör olduğunu göstermektedir. Hastaların taburculuk sonrası bilgi arama davranışlarında internet ve sosyal medya platformlarını sıklıkla kullandıkları görüldü. Bireyselleştirilmiş taburculuk eğitim programlarının uygulanması, dijital platformlarda güvenilir sağlık bilgi kaynaklarının sağlanması, hastalara hem yazılı hem de görsel formatta taburculuk eğitim materyallerinin sağlanması ve taburculuk eğitim programlarının etkinliğinin düzenli olarak değerlendirilmesi önerilmektedir.
Anahtar Kelimeler
taburculuk planlaması hemşirelik bakımı hasta eğitimi hasta memnuniyeti cerrahi
Kaynakça
- Aldaqal, S. M., Alghamdi, H., AlTurki, H., El-deek, B. S., & Kensarah, A. A. (2012). Determinants of patient satisfaction in the surgical ward at a university hospital in Saudi Arabia. Life Science Journal, 9(1), 277-280.
- Bavin, E., Tobiano, G., & Gillespie, B. M. (2023). Patient experience of elective general surgery: An integrative review. Collegian, 30, 676-685.
- Becker, C., Zumbrunn, S., Beck, K., Vincent, A., Loretz, N., Müller, J., et al. (2021). Interventions to improve communication at hospital discharge and rates of readmission: A systematic review and meta-analysis. JAMA Network Open, 4(8), e2119346.
- Bilik, Ö. (2017). Klinikten eve uzanan yolculuk: Ameliyat olan hastaların evde bakımı. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(1), 114-117.
- Blöndal, K., Sveinsdottir, H., & Ingadottir, B. (2022). Patients' expectations and experiences of provided surgery-related patient education: A descriptive longitudinal study. Nursing Open, 9, 2495-2505.
- Candaş Altınbaş, B., Serpici, A., Gürsoy, A., & Sarımehmet, D. (2023). Thoughts and attitudes of surgical nurses on planned discharge education and influencing factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(4), 1855-1862.
- Cronemberger, E. V., Portocarrero, M. L., Donato, A. R., Cunha, M. S., Barreto, T. F., & Meneses, J. V. L. (2012). Use of the internet as a source of information about plastic surgery in Bahia, Brazil. Revista Brasileira de Cirurgia Plástica, 27(4), 531-535. Curry, E., Li, X., Nguyen, J., & Matzkin, E. (2014). Prevalence of internet and social media usage in orthopedic surgery. Orthopedic Reviews, 6(5483), 107-111. Dığın, F., Kızılcık Özkan, Z., & Altınaz, M. (2024). Ürolojik cerrahi uygulanan hastaların taburculuk eğitimi memnuniyeti ve etkileyen faktörler. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(1), 55-68.
- Esin, M. N. (2015). Örnekleme. In S. Erdoğan, N. Nahcivan, & M. N. Esin (Eds.), Hemşirelikte Araştırma (pp. 188–189). Nobel Tıp Kitabevleri. George, D., & Mallery, P. (2010). SPSS for Windows step by step: A simple guide and reference 17.0 update (10th ed.). Pearson. Gillespie, B. M., Thalib, L., Harbeck, E., Tobiano, G., Kang, E., Tobiano, S., et al. (2023). Effectiveness of discharge education for patients undergoing general surgery: A systematic review and meta-analysis. International Journal of Nursing Studies, 140, 104471. Güçlü, A., & Kurşun, Ş. (2017). Genel cerrahi hastalarının taburculuk eğitim gereksinimleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(2), 107–113. Haşıloğlu, S. B., & Haşıloğlu-Ciftçiler, M. (2023). What should be the measure of conformity to normal distribution (normality) test in Likert type digital and face-to-face survey data? Journal of Internet Applications and Management, 14(2), 54-73.
- Horstman, M. J., Mills, L. W., Herman, I. L., Cai, C., Shelton, G., Qdaisat, T., et al. (2017). Patient experience with discharge instructions in postdischarge recovery: A qualitative study. BMJ Open, 7, e014842. Jerjes, W., & Harding, D. (2024). Redefining medical education: Harnessing the power of patient feedback. Frontiers in Medicine, 11, 1453262. Kang, E., Gillespie, M. B., Tobiano, G., & Chaboyer, W. (2020a). General surgical patients' experience of hospital discharge education. Journal of Clinical Nursing, 29(1-2), 1-10. Kang, E., Tobiano, G., Chaboyer, W., & Gillespie, B. M. (2020b). Nurses' role in delivering discharge education to general surgical patients: A qualitative study. Journal of Advanced Nursing, 76, 1698-1707.
- Kırtıl, İ., & Ongün, P. (2022). Information sources of bariatric surgical patients who are internet users: Perception of effectiveness and reliability. Bariatric Surgical Practice and Patient Care, 17(4), 219-224.
- Long, E. L., Leung, C., Hong, J. S., Wright, C., & Young, C. J. (2019). Patterns of internet and social media use in colorectal surgery. BMC Surgery, 19(52), 1-5.
- Lumpkin, S., Kratzke, I., Duke, M., & Chaumont, N. (2019). Twelve tips for preparing a surgical discharge summary: Enabling a safe discharge. MedEdPublish, 8, 39. Martins, P. M., Abreu-Rodrigues, M., & Souza, R. J. (2015). The use of the internet by the patient after bariatric surgery: Contributions and obstacles for the follow-up of multidisciplinary monitoring. Arquivos Brasileiros de Cirurgia Digestiva, 28(Supl.1), 46-51.
- McFadden, N. R., Gosdin, M. M., Jurkovich, G. J., & Utter, G. H. (2022). Patient and clinician perceptions of the trauma and acute care surgery hospitalization discharge transition of care: A qualitative study. Trauma Surgery & Acute Care Open, 7, e000800. Meşe, S., & Köşgeroğlu, N. (2021). Cerrahi hastalara özgü Taburculuk Eğitimi Memnuniyet Ölçeği'nin geliştirilmesi. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 13(4), 759-768.
- Newnham, H., Barker, A., Ritchie, E., Hitchcock, K., Gibbs, H., & Holton, S. (2017). Discharge communication practices and healthcare provider and patient preferences, satisfaction and comprehension: A systematic review. International Journal for Quality in Health Care, 29(6), 752-768.
- Nurhayati, N., Songwathana, P., & Vachprasit, R. (2019). Surgical patients’ experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. Journal of Clinical Nursing, 28, 1728-1736.
- Paolino, L., Genser, L., Fritsch, S., de’Angelis, N., Azoulay, D., & Lazzati, A. (2015). The web-surfing bariatric patient: The role of the internet in the decision-making process. Obesity Surgery, 25, 738- 743. Rizalar, S., Ozturk Genc, G., & Goktas, S. (2024). Surgical patients’ satisfaction with discharge training: A cross-sectional study. Iranian Red Crescent Medical Journal, 43(1), 1-8.
- Ruel, M. C., Ramirez Garcia, M. P., & Arbour, C. (2021). Transition from hospital to home after elective colorectal surgery performed in an enhanced recovery program: An integrative review. Nursing Open, 8, 1550-1570. Santoro, A. J., Ford, E. A., Pontes, M., Busconi, B. D., & McMillan, S. (2022). Patient-specific e-mailed discharge instructions improve patient satisfaction and patient understanding after surgical arthroscopy. Arthroscopy, Sports Medicine, and Rehabilitation, 4(4), e1315-e1322.
- Tanner, D., & Morgan, H. (2022). An evaluation of timing of discharge instruction and the impact on patient satisfaction. Journal of PeriAnesthesia Nursing, 37, 29-33. https://doi.org/10.1016/j.jopan.2021.10.008 Tennekoon, D., McPartlin, D., Beynon Philips, A., Tadikonda, R., & Arotiowa, M. (2017). Patient satisfaction on postoperative instructions given by hospital staff on discharge. Ceylon Journal of Otolaryngology, 6(1), 15-22.
- Timmers, T., Janssen, L., Kool, R. B., & Kremer, J. A. M. (2020). Educating patients by providing timely information using smartphone and tablet apps: Systematic review. Journal of Medical Internet Research, 22(4), e17342. Tobiano, G., Walker, R. M., Chaboyer, W., Carlini, J., Webber, L., Latimer, S., et al. (2023). Patient experiences of, and preferences for, surgical wound care education. International Wound Journal, 20, 1687-1699. Trivedi, S. P., Kopp, Z., Williams, P. N., Hupp, D., Gowen, N., Horwitz, L. I., et al. (2021). Who is responsible for discharge education of patients? A multi-institutional survey of internal medicine residents. Journal of General Internal Medicine, 36(6), 1568-1575.
- Valleser, C. F., & Narvaez, R. A. (2024). Effectiveness of video-discharge instructions and multi-media on patients with colostomy. International Journal of Caring Sciences, 17(2), 933-950.
- Waniga, H. M., Gerke, T., Shoemaker, A., Bourgoine, D., & Eamranond, P. (2016). The impact of revised discharge instructions on patient satisfaction. Journal of Patient Experience, 3(3), 64-68.
- Wong, E., Mavondo, F., & Fisher, J. (2020). Patient feedback to improve quality of patient-centred care in public hospitals: A systematic review of the evidence. BMC Health Services Research, 20, 530.
- Yen, P. H., & Leasure, A. R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes. Federal Practitioner, 36, 284-328.
Öz
This study was conducted to determine the satisfaction levels of surgical patients with discharge education and the influencing factors. The research was conducted between June and November 2024. A total of 138 patients who met the inclusion criteria participated in the study. Data were collected using a Patient Information Form and Discharge Education Satisfaction Scale. Descriptive statistics, independent sample t-tests, one-way ANOVA, and correlation tests were used in the data analysis. Significance was evaluated at a p<0.05 level. The average total score of the patients on the scale was determined to be 95.74±10.84, indicating very high levels of satisfaction. It was found that 58.8% of the patients received discharge education from a physician, 62% conducted individual research after discharge, and 49.3% used the internet and social media for this research. The status of being a healthcare worker was identified as the only significant variable affecting the satisfaction levels (p<0.05). No significant effect was found for other variables on the scale scores (p>0.05). The study demonstrates that surgical patients are highly satisfied with discharge education, and that being a healthcare worker is an important factor influencing this satisfaction. It was observed that patients frequently use the internet and social media platforms in their post-discharge information-seeking behavior. It is recommended to implement individualized discharge education programs, provide reliable health information sources on digital platforms, supply discharge education materials in both written and visual formats to patients, and regularly evaluate the effectiveness of discharge education programs.
Anahtar Kelimeler
discharge planning nursing care patient education patient satisfaction surgery
Kaynakça
- Aldaqal, S. M., Alghamdi, H., AlTurki, H., El-deek, B. S., & Kensarah, A. A. (2012). Determinants of patient satisfaction in the surgical ward at a university hospital in Saudi Arabia. Life Science Journal, 9(1), 277-280.
- Bavin, E., Tobiano, G., & Gillespie, B. M. (2023). Patient experience of elective general surgery: An integrative review. Collegian, 30, 676-685.
- Becker, C., Zumbrunn, S., Beck, K., Vincent, A., Loretz, N., Müller, J., et al. (2021). Interventions to improve communication at hospital discharge and rates of readmission: A systematic review and meta-analysis. JAMA Network Open, 4(8), e2119346.
- Bilik, Ö. (2017). Klinikten eve uzanan yolculuk: Ameliyat olan hastaların evde bakımı. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(1), 114-117.
- Blöndal, K., Sveinsdottir, H., & Ingadottir, B. (2022). Patients' expectations and experiences of provided surgery-related patient education: A descriptive longitudinal study. Nursing Open, 9, 2495-2505.
- Candaş Altınbaş, B., Serpici, A., Gürsoy, A., & Sarımehmet, D. (2023). Thoughts and attitudes of surgical nurses on planned discharge education and influencing factors. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(4), 1855-1862.
- Cronemberger, E. V., Portocarrero, M. L., Donato, A. R., Cunha, M. S., Barreto, T. F., & Meneses, J. V. L. (2012). Use of the internet as a source of information about plastic surgery in Bahia, Brazil. Revista Brasileira de Cirurgia Plástica, 27(4), 531-535. Curry, E., Li, X., Nguyen, J., & Matzkin, E. (2014). Prevalence of internet and social media usage in orthopedic surgery. Orthopedic Reviews, 6(5483), 107-111. Dığın, F., Kızılcık Özkan, Z., & Altınaz, M. (2024). Ürolojik cerrahi uygulanan hastaların taburculuk eğitimi memnuniyeti ve etkileyen faktörler. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(1), 55-68.
- Esin, M. N. (2015). Örnekleme. In S. Erdoğan, N. Nahcivan, & M. N. Esin (Eds.), Hemşirelikte Araştırma (pp. 188–189). Nobel Tıp Kitabevleri. George, D., & Mallery, P. (2010). SPSS for Windows step by step: A simple guide and reference 17.0 update (10th ed.). Pearson. Gillespie, B. M., Thalib, L., Harbeck, E., Tobiano, G., Kang, E., Tobiano, S., et al. (2023). Effectiveness of discharge education for patients undergoing general surgery: A systematic review and meta-analysis. International Journal of Nursing Studies, 140, 104471. Güçlü, A., & Kurşun, Ş. (2017). Genel cerrahi hastalarının taburculuk eğitim gereksinimleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(2), 107–113. Haşıloğlu, S. B., & Haşıloğlu-Ciftçiler, M. (2023). What should be the measure of conformity to normal distribution (normality) test in Likert type digital and face-to-face survey data? Journal of Internet Applications and Management, 14(2), 54-73.
- Horstman, M. J., Mills, L. W., Herman, I. L., Cai, C., Shelton, G., Qdaisat, T., et al. (2017). Patient experience with discharge instructions in postdischarge recovery: A qualitative study. BMJ Open, 7, e014842. Jerjes, W., & Harding, D. (2024). Redefining medical education: Harnessing the power of patient feedback. Frontiers in Medicine, 11, 1453262. Kang, E., Gillespie, M. B., Tobiano, G., & Chaboyer, W. (2020a). General surgical patients' experience of hospital discharge education. Journal of Clinical Nursing, 29(1-2), 1-10. Kang, E., Tobiano, G., Chaboyer, W., & Gillespie, B. M. (2020b). Nurses' role in delivering discharge education to general surgical patients: A qualitative study. Journal of Advanced Nursing, 76, 1698-1707.
- Kırtıl, İ., & Ongün, P. (2022). Information sources of bariatric surgical patients who are internet users: Perception of effectiveness and reliability. Bariatric Surgical Practice and Patient Care, 17(4), 219-224.
- Long, E. L., Leung, C., Hong, J. S., Wright, C., & Young, C. J. (2019). Patterns of internet and social media use in colorectal surgery. BMC Surgery, 19(52), 1-5.
- Lumpkin, S., Kratzke, I., Duke, M., & Chaumont, N. (2019). Twelve tips for preparing a surgical discharge summary: Enabling a safe discharge. MedEdPublish, 8, 39. Martins, P. M., Abreu-Rodrigues, M., & Souza, R. J. (2015). The use of the internet by the patient after bariatric surgery: Contributions and obstacles for the follow-up of multidisciplinary monitoring. Arquivos Brasileiros de Cirurgia Digestiva, 28(Supl.1), 46-51.
- McFadden, N. R., Gosdin, M. M., Jurkovich, G. J., & Utter, G. H. (2022). Patient and clinician perceptions of the trauma and acute care surgery hospitalization discharge transition of care: A qualitative study. Trauma Surgery & Acute Care Open, 7, e000800. Meşe, S., & Köşgeroğlu, N. (2021). Cerrahi hastalara özgü Taburculuk Eğitimi Memnuniyet Ölçeği'nin geliştirilmesi. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 13(4), 759-768.
- Newnham, H., Barker, A., Ritchie, E., Hitchcock, K., Gibbs, H., & Holton, S. (2017). Discharge communication practices and healthcare provider and patient preferences, satisfaction and comprehension: A systematic review. International Journal for Quality in Health Care, 29(6), 752-768.
- Nurhayati, N., Songwathana, P., & Vachprasit, R. (2019). Surgical patients’ experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. Journal of Clinical Nursing, 28, 1728-1736.
- Paolino, L., Genser, L., Fritsch, S., de’Angelis, N., Azoulay, D., & Lazzati, A. (2015). The web-surfing bariatric patient: The role of the internet in the decision-making process. Obesity Surgery, 25, 738- 743. Rizalar, S., Ozturk Genc, G., & Goktas, S. (2024). Surgical patients’ satisfaction with discharge training: A cross-sectional study. Iranian Red Crescent Medical Journal, 43(1), 1-8.
- Ruel, M. C., Ramirez Garcia, M. P., & Arbour, C. (2021). Transition from hospital to home after elective colorectal surgery performed in an enhanced recovery program: An integrative review. Nursing Open, 8, 1550-1570. Santoro, A. J., Ford, E. A., Pontes, M., Busconi, B. D., & McMillan, S. (2022). Patient-specific e-mailed discharge instructions improve patient satisfaction and patient understanding after surgical arthroscopy. Arthroscopy, Sports Medicine, and Rehabilitation, 4(4), e1315-e1322.
- Tanner, D., & Morgan, H. (2022). An evaluation of timing of discharge instruction and the impact on patient satisfaction. Journal of PeriAnesthesia Nursing, 37, 29-33. https://doi.org/10.1016/j.jopan.2021.10.008 Tennekoon, D., McPartlin, D., Beynon Philips, A., Tadikonda, R., & Arotiowa, M. (2017). Patient satisfaction on postoperative instructions given by hospital staff on discharge. Ceylon Journal of Otolaryngology, 6(1), 15-22.
- Timmers, T., Janssen, L., Kool, R. B., & Kremer, J. A. M. (2020). Educating patients by providing timely information using smartphone and tablet apps: Systematic review. Journal of Medical Internet Research, 22(4), e17342. Tobiano, G., Walker, R. M., Chaboyer, W., Carlini, J., Webber, L., Latimer, S., et al. (2023). Patient experiences of, and preferences for, surgical wound care education. International Wound Journal, 20, 1687-1699. Trivedi, S. P., Kopp, Z., Williams, P. N., Hupp, D., Gowen, N., Horwitz, L. I., et al. (2021). Who is responsible for discharge education of patients? A multi-institutional survey of internal medicine residents. Journal of General Internal Medicine, 36(6), 1568-1575.
- Valleser, C. F., & Narvaez, R. A. (2024). Effectiveness of video-discharge instructions and multi-media on patients with colostomy. International Journal of Caring Sciences, 17(2), 933-950.
- Waniga, H. M., Gerke, T., Shoemaker, A., Bourgoine, D., & Eamranond, P. (2016). The impact of revised discharge instructions on patient satisfaction. Journal of Patient Experience, 3(3), 64-68.
- Wong, E., Mavondo, F., & Fisher, J. (2020). Patient feedback to improve quality of patient-centred care in public hospitals: A systematic review of the evidence. BMC Health Services Research, 20, 530.
- Yen, P. H., & Leasure, A. R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes. Federal Practitioner, 36, 284-328.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Cerrahi Hastalıklar Hemşireliği |
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Mayıs 2025 |
| Gönderilme Tarihi | 5 Nisan 2025 |
| Kabul Tarihi | 25 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 1 Sayı: 2 |
- Makale Dosyaları