Issue: IeJSME 2018 12(3)

Authors: Zher Lin Go, Hon Shen P’ng, Wai Seng Cheong.

ABSTRACT

Background: While international data exists on hospitalisation and its associated mortality among endstage renal disease (ESRD) population on maintenance renal replacement therapy (RRT), local data is not known. The objective of this single centre retrospective observational study is to determine the burden of hospital admission and readmission among the ESRD population and the mortality outcome after hospitalisation.

Methods: We obtained our study data from the HSNI Batu Pahat nephrology service inpatient database, patients’ medical records and Jabatan Pendaftaran Negara (JPN) registry of death.

Results: There were 195 index admissions identified from January to June 2016. We found that hospital readmission rate was high at 19.5% within 30 days, 34.4% within 60 days, and 44.6% within 90 days of discharge. Commonest reason of admission was fluid overload (20.7%). Overload was also the commonest reason of readmissions within 30 and 60 days (28.9% and 23.8% respectively), whereas vascular access related issues were the commonest reason of readmission within 90 days of discharge (21.8%). The 90-day mortality rate after index admission was also high at around 18%. The commonest cause of mortality was Infection and Sepsis (42.9%), followed by Acute Coronary Syndrome (22.9%).

Conclusions: This study demonstrated the heavy burden of hospitalisation and high mortality rate among ESRD populations. Further larger researches are welcomed to look into the factors associated and the problems faced, in order to improve not only individual morbidity and mortality outcomes, but also on hospitalisation cost and healthcare resources.

Keywords: ESRD on RRT, Hospital Admission, Readmission, Mortality after Hospital Admissions, Reasons of Admission, Reasons of Readmission, Reasons of Mortality.

Citation: IeJSME 2018 12(3): 12-20

DOI: https://doi.org/10.56026/imu.12.3.12

Authors: Pei Khim Lee, Wei Fern Siew, Wai Mun Tang.

ABSTRACT

Background: Psychosocial care remains an important component in holistic care nursing and is crucial for patients’ recovery outcomes.

Objective: The purpose of the study was to determine nurses’ perception towards their role in psychosocial care.

Methodology: The research design was descriptive and cross-sectional. Nurses’ Role in Psychosocial Care Questionnaire (NRPCQ) was used for data collection and approximately 110 registered nurses (response rate = 52.38%) participated in the study via convenience sampling. Descriptive and inferential statistics, Mann-Whitney U test were used for data analysis.

Results: In general, nurses’ perception towards their role in providing psychosocial care was positive (M = 73.71, SD ± 12.20). Items on “demonstrating warmth and friendliness by smiling” (M = 3.92, SD ± 0.28); and “explaining nursing procedures or interventions to the patient” (M = 3.88, SD ± 0.32) were rated most positive. Nevertheless, items on “referring patients to other health care team members” (M = 3.32, SD ± 0.83), and “discussing with patient and patient’s family regarding planned care” (M = 3.44, SD ± 0.69) were rated the least positive. The Mann-Whitney U test analysis revealed significant association between nurses’ age and perception towards their role in psychosocial care (p = 0.025), in which the older nurses have a more positive perception towards their role in psychosocial care than the younger nurses.

Conclusion: The findings highlighted some important gaps in the practice of psychosocial care among the registered nurses. The information serves as a baseline for the planning and implementing of relevant strategies in enhancing nurses’ role in psychosocial care provision.

Keywords: Perception, role, psychosocial care, registered nurses, hospital.

Citation: IeJSME 2018 12(3): 21-29

DOI: https://doi.org/10.56026/imu.12.3.21