Hadjistavropoulos H D, Dobson J, Boisvert J A
Clinical Research and Development Program, Regina Health District, Regina, Saskatchewan, Canada.
Can J Anaesth. 2001 Oct;48(9):864-70. doi: 10.1007/BF03017351.
To explore patients' perceptions of anesthetic care as measured by a patient-centered care survey. Specifically, the survey examined patient views of multiple diverse dimensions of care that are not typically fully addressed among patients receiving anesthesia services, namely opinions on Information Provision, Involvement in Care, Respect Shown, Physical Comfort, and Emotional Support.
A total of 268 patients responded to a patient-centered care survey, a self-report factor analytically derived instrument designed to measure the aforementioned dimensions of care.
Analyses revealed that the highest ratings of care were given to Physical Comfort and Respect. Ratings of Information Provision, Involvement, and Emotional Support were significantly lower. Ratings did not differ as a function of site of service, inpatient vs day surgery, surgical service, type of anesthetic, or anesthesiologist.
The findings generated from the study are of value in obtaining a broader understanding of anesthesia services from the patient's perspective, and also in directing quality improvement initiatives. Other departments of anesthesiology interested in quality improvement initiatives may similarly benefit from measurement of patient-centered care.
通过以患者为中心的护理调查来探究患者对麻醉护理的看法。具体而言，该调查考察了患者对多种不同护理维度的看法，这些维度在接受麻醉服务的患者中通常未得到充分探讨，即关于信息提供、参与护理、受到尊重、身体舒适度和情感支持的意见。
共有268名患者对一项以患者为中心的护理调查做出了回应，该调查是一种通过自我报告进行因素分析得出的工具，旨在测量上述护理维度。
分析显示，护理评分最高的是身体舒适度和受到尊重。信息提供、参与护理和情感支持的评分显著较低。评分不因服务地点、住院手术与日间手术、手术科室、麻醉类型或麻醉医生而有所不同。
该研究的结果对于从患者角度更全面地理解麻醉服务以及指导质量改进举措具有重要价值。其他对质量改进举措感兴趣的麻醉科室可能同样会从以患者为中心的护理测量中受益。
