Matis G K, Birbilis T A, Chrysou O I, Zissimopoulos A
Department of Neurosurgery, Democritus University of Thrace Medical School, University Hospital, Alexandroupolis, Greece.
J BUON. 2010 Jan-Mar;15(1):157-63.
To investigate brain cancer patients' satisfaction hospitalised in a tertiary care university public hospital in Alexandroupolis, Greece, in order to improve medical, nursing, and organizational-administrative services.
This cross-sectional study involved 163 patients having been hospitalised for at least 24 hours. The patients were asked to fill in a satisfaction questionnaire previously approved by the Greek Ministry of Health. Four aspects of satisfaction were investigated (medical, hotel accommodation/ organisational facilities, nursing, global). Using Principal Component Analysis, summated scales were formed and tested for internal consistency using Cronbach's alpha coefficient. The non parametric Spearman's rank correlation coefficient was also used and the threshold p-value for statistical significance (2-sided) was set at 0.05.
The results revealed a high degree of global satisfaction (73.31%), yet satisfaction was higher for the medical (88.88%) and nursing (84.26%) services. Moreover, satisfaction derived from the accommodation facilities and the general organisation was found to be more limited (74.17%). Statistically significant differences (based on various demographic variables) in the participants' global satisfaction were not observed. On the contrary, self-assessment of health status at admission was negatively correlated with medical (r(s)=-0.157, p=0.045) and nursing (r(s)=-0.168, p=0.032) satisfaction. Greek citizenship contributed to bigger satisfaction scores in the accommodation/organisational facilities dimension (r(s)=0.158, p=0.044). Finally, age was positively linked to nursing satisfaction (r(s)=0.181, p=0.02).
The present study confirmed in part the results of previously published Greek surveys assessing general patient populations. However, more studies are urgently needed to confirm these findings in a much bigger brain cancer population.
调查在希腊亚历山德鲁波利斯一所三级护理大学公立医院住院的脑癌患者的满意度，以改善医疗、护理及组织管理服务。
这项横断面研究纳入了163名住院至少24小时的患者。患者被要求填写一份先前经希腊卫生部批准的满意度调查问卷。调查了满意度的四个方面（医疗、酒店式住宿/组织设施、护理、总体）。使用主成分分析法形成了汇总量表，并使用克朗巴赫α系数检验其内部一致性。还使用了非参数斯皮尔曼等级相关系数，双侧统计显著性的阈值p值设定为0.05。
结果显示总体满意度较高（73.31%），然而医疗（88.88%）和护理（84.26%）服务的满意度更高。此外，住宿设施和总体组织方面的满意度相对较低（74.17%）。未观察到参与者总体满意度在统计学上的显著差异（基于各种人口统计学变量）。相反，入院时的健康状况自我评估与医疗（r(s)=-0.157，p=0.045）和护理（r(s)=-0.168，p=0.032）满意度呈负相关。希腊公民身份在住宿/组织设施维度的满意度得分更高（r(s)=0.158，p=0.044）。最后，年龄与护理满意度呈正相关（r(s)=0.181，p=0.02）。
本研究部分证实了先前发表的评估一般患者群体的希腊调查结果。然而，迫切需要更多研究在更大的脑癌患者群体中证实这些发现。
