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详细解释性传单对患者尿动力学检查满意度的影响:一项双盲随机对照试验。

The impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: a double-blind randomized controlled trial.

作者信息

Hougardy Véronique, Vandeweerd Jean-Michel, Reda Ayalu A, Foidart Jean-Michel

机构信息

CHR-Site de La Citadelle, University of Liege, Liege, Belgium.

出版信息

Neurourol Urodyn. 2009;28(5):374-9. doi: 10.1002/nau.20667.

DOI:10.1002/nau.20667
PMID:18973142
Abstract

AIMS

To develop and validate a scale that is applicable in Belgium to investigate the aspects of female patients' satisfaction with urodynamic consultation, and to use it to measure the impact of a detailed explanatory leaflet on their satisfaction.

MATERIALS AND METHODS

Question items were obtained from a group consensus (Delphi process). Each item was scored on a five-point Likert scale. The satisfaction scale was administered to two groups of patients attending the clinics for urodynamics. One hundred twenty-nine patients were included in the study and randomized in two groups. One group (n = 60) received a detailed explanatory leaflet about urodynamic consultation and the other did not (n = 69). Responses were subjected to a reliability and principal component analysis (PCA) to achieve data reduction and analysis, and to assess the reliability of the new scale. Relevant items were retained to compare both interventions using regression analysis.

RESULTS

A 15-item scale was derived from the Delphi process. Exploratory factor analysis suggested a single factor solution with 11 meaningful items. No significant difference was noted in global scores of satisfaction between the two groups (P = 0.051).

CONCLUSIONS

A short-form patient satisfaction scale with acceptable validity and reliability was developed and used to measure patient satisfaction with urodynamic consultation in this population of Belgian women. This study did not provide support for the effectiveness of explanatory leaflets in improving satisfaction. Neurourol. Urodynam. 28:374-379, 2009. (c) 2008 Wiley-Liss, Inc.

摘要

目的

开发并验证一种适用于比利时的量表,以调查女性患者对尿动力学检查咨询的满意度,并使用该量表衡量一份详细解释性传单对患者满意度的影响。

材料与方法

问题项目通过小组共识(德尔菲法)获得。每个项目采用五点李克特量表评分。该满意度量表应用于两组到尿动力学诊所就诊的患者。129名患者纳入研究并随机分为两组。一组(n = 60)收到一份关于尿动力学检查咨询的详细解释性传单,另一组未收到(n = 69)。对回答进行可靠性和主成分分析(PCA)以实现数据简化和分析,并评估新量表的可靠性。保留相关项目,使用回归分析比较两种干预措施。

结果

通过德尔菲法得出一个包含15个项目的量表。探索性因素分析表明存在一个单因素解决方案,有11个有意义的项目。两组之间的总体满意度得分无显著差异(P = 0.051)。

结论

开发了一种具有可接受效度和信度的简短患者满意度量表,并用于衡量比利时女性人群对尿动力学检查咨询的患者满意度。本研究未提供支持解释性传单在提高满意度方面有效性的证据。《神经泌尿学与尿动力学》28:374 - 379,2009年。(c)2008威利 - 利斯公司。

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