Evaluating the Causes and Consequences of Leaving the Hospital With Personal Consent in Patients of the Emergency Department
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 109
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شناسه ملی سند علمی:
JR_HDQ-8-2_007
تاریخ نمایه سازی: 27 آذر 1402
چکیده مقاله:
Background: Studies show that leaving the hospital with personal consent is increasing. This phenomenon has unpleasant and sometimes irreversible consequences. This study aims to investigate the causes and consequences of leaving the hospital with the personal consent of patients referred to the emergency department of hospitals affiliated with Qom University of Medical Sciences in ۲۰۲۱.
Materials and Methods: In this descriptive-analytical study, ۳۴۵ patients were selected who, with personal consent, left the emergency department of selected hospitals affiliated with Qom University of Medical Sciences in ۲۰۲۱. The study data were collected via a questionnaire and a checklist. The questionnaire comprised demographic variables, patient-related factors, personnel-related factors, and hospital-related factors. The checklist of the consequences included questions about leaving the hospital with personal consent. The data were analyzed using descriptive and inferential statistics in SPSS software, version ۲۰.
Results: Of ۳۴۵ patients included in the study, ۵۵.۹% were male and the mean age of patients was ۴۷.۱ years. The most important reasons for leaving the hospital with personal consent were as follows: personal reasons (۲۲.۹%), fear of continuing treatment (۱۱.۹%), preference to continue the treatment in other medical centers (۹.۳%), the suggestion of other hospital staff (۳۵.۱%), not having the desired doctor (۲۷%), nurses’ suggestion (۱۹.۴%), lack of care (۲۰.۴%), and inadequate hospital space and facilities (۱۴.۰%). The consequences of leaving the hospital with personal consent in this study included re-admission and hospitalization (۱۰.۳%), mortality (۳.۴%), heart disease (۰.۸۷%), and mental disorders (۰.۵۷%).
Conclusion: After identifying the reasons for leaving the hospital with personal consent and highlighting the irreparable human and financial consequences, these causes should be eliminated to prevent irreparable and unfortunate consequences. Such causes include personal reasons, fear of continuing the treatment, and lack of care. Fixing the causes requires proper planning and effective actions.
کلیدواژه ها:
نویسندگان
Mohammad Abbasi
Department of Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran.
Sajjad Ahmadi
Department of Nursing, Qom University of Medical Sciences, Qom, Iran.
Babak Farzin Nia
Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Mohammad Aghaali
Department of Family and Community Medicine, Qom University of Medical Sciences, Qom, Iran.