Program in Physical Therapy, Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29208, USA.
Physiother Theory Pract. 2011 May;27(4):310-8. doi: 10.3109/09593985.2010.490575. Epub 2010 Aug 26.
This study examined relationships between patient satisfaction with physical therapy care and global rating of change; 1,944 respondents completed the Medrisk Instrument for Measuring Patient Satisfaction with Physical Therapy Care (MR-12) and a nine-point Global Rating of Change Scale (GROC) following a course of physical therapy for a work-related musculoskeletal problem. Ninety percent of all respondents reported being satisfied or very satisfied with their overall care, whereas 70.1% of all respondents indicated they improved following treatment. Respondents who reported improvement had significantly higher scores for all measures of satisfaction (p<0.01) than did those who reported failure to improve; however, both of these groups had mean scores of greater than 4.0 on the MR-12, indicating that respondents were likely to be satisfied or very satisfied with care regardless of perceived change following treatment. Scores>4.0 from the MR-12 had high sensitivity to detect those respondents classified as "improved" (0.87-0.95), but low specificity to differentiate between those who were classified as "improved" and those who were classified as "did not improve" (0.22-0.30). Our findings support the hypothesis that patient satisfaction with care is primarily independent of perceived clinical change.
本研究考察了患者对物理治疗护理的满意度与整体变化评估之间的关系；共有 1944 名受访者在接受与工作相关的肌肉骨骼问题相关的物理治疗课程后完成了 Medrisk 物理治疗护理满意度测量仪（MR-12）和九点整体变化评估量表（GROC）。所有受访者中有 90%报告对他们的整体护理满意或非常满意，而所有受访者中有 70.1%表示在治疗后有所改善。与报告未改善的患者相比，报告改善的患者在所有满意度测量方面的得分显著更高（p<0.01）；然而，这两个群体在 MR-12 上的平均得分都大于 4.0，这表明无论治疗后是否感知到变化，受访者都可能对护理感到满意或非常满意。MR-12 上的得分>4.0 对检测被归类为“改善”的患者具有较高的敏感性（0.87-0.95），但对区分被归类为“改善”的患者和被归类为“未改善”的患者的特异性较低（0.22-0.30）。我们的研究结果支持这样的假设，即患者对护理的满意度主要独立于感知到的临床变化。
