تعیین علل رضایت شخصی در بخش‌های بستری یکی از بیمارستان‌های دانشگاهی در ایران: گزارش کوتاه

زمینه و هدف: ترخیص با رضایت شخصی به معنی انصراف بیمار از اختیاراتی که پیش‌تر به کادر درمان برای ارایه خدمت داده بود، می‌باشد. هدف از این مطالعه تعیین علل رضایت شخصی در بخش‌های بستری بیمارستان است.روش بررسی: پژوهش حاضر یک مطالعه مقطعی در بیمارستان امیرالمومنین (ع) شهرستان زابل وابسته به دانشگاه علوم پزشکی زابل است که به بررسی دلایل ترخیص با رضایت شخصی در ارتباط با بیمار، کادر بیمارستان و وضعیت اقامتی بیمارستان در بازه زمانی فروردین تا اسفند 1396 پرداخته است.یافته‌ها: در این پژوهش در مجموع 6445 بیمار در بخش‌های مختلف بیمارستان پذیرش شدند. بیشتر مراجعات به‌دلیل شکایات نورولوژیک بود (51%). 803 (80%) مددجو به‌دلیل مسایل مرتبط با خود بیمار و 163 (16%) بیمار به‌دلیل مسایل مرتبط با کادر بیمارستان، با دادن رضایت شخصی بیمارستان را ترک نمودند.نتیجه‌گیری: براساس نتایج مطالعه حاضر، بیشترین موارد ترخیص با رضایت شخصی به‌دلیل مسایل مرتبط با خود بیمار بوده است.

Determining the main causes of discharge with personal satisfaction in hospitalized patients in a university hospital in Iran: brief report

Background: Discharge with personal satisfaction means the patient's withdrawal from the permission that had previously been given to the care unit for services. Discharge with personal satisfaction is initiated with the untimely termination of treatment by the patient or parents and in some cases leads to hospitalization or even death of the patient. This study aimed to determining the main causes of discharge with personal satisfaction in hospitalized patients.Methods: The present crosssectional study examines at hospitalized patients of Amiralmomenin Hospital in Zabol, Iran, to examine the reasons discharge with personal satisfaction in relation to the patient, hospital staff and the housing status of the hospital during the period from April 2017 to March 2018. All clearance patients with personal satisfaction entered the study. Demographic data, insurance status, type of insurance (social security, health services, resettlement, relief, armed forces, maternity, maternity, other supplementary insurance), number of admission days, hospital admission (morning, evening, night), type of illness or cause of referral (multiple trauma, surgery, orthopedics, neurology, neurology), the reason for possible readmittance within the next two weeks and the main reasons for clearance with personal consent was collected and recorded using a predesigned checklist.Results: The most of the cases of which were due to neurological complaints (51%). 803 (80%) of patients referred back to the hospital due to selfcorrelated problems, 163 (16%) patients were hospital left with satisfaction due to the hospitalmade staffing problem (P=0.001). The results of the study showed that the highest frequency was related to male (67%) and most of them were married (84%), while most of them had insurance (74%), especially army and municipality insurance (34%).Conclusion: Based on the results of the present study, most cases of discharge were patient related. Adequate recovery feeling and the desire to continue treatment in private centers were the main causes.