英国足病手术患者的期望。
Patient expectations of podiatric surgery in the United Kingdom.
机构信息
Department of Podiatric Surgery, Park House Health and Social Care Centre, 61 Burton Road, Carlton, Nottingham, NG4 3DQ, UK.
出版信息
J Foot Ankle Res. 2011 Dec 6;4(1):27. doi: 10.1186/1757-1146-4-27.
BACKGROUND
Patient expectations can be difficult to conceptualise and are liable to change with time, health and environmental factors. Patient expectation is known to influence satisfaction, however little is known about the expectations of patients attending for podiatric surgery. This paper will explore the expectations of a large cohort of patients undergoing elective foot surgery.
METHODS
The UK based podiatric audit of surgery and clinical outcome measurement (PASCOM) audit system was applied to a consecutive cohort of patients undergoing elective podiatric surgery in Doncaster, South Yorkshire between 2004 and 2010. Data was collected relating to the surgical episode and patient expectations. A patient questionnaire was administered at 6 months post intervention.
RESULTS
A total of 2910 unique surgical admissions were completed and satisfaction questionnaires were returned by 1869 patients. A total of 1430 patients answered question 1 which relates to patient expectations. Pain relief was the most frequent expectation with 1191 counts (52.3%), while footwear and mobility accounted for 16.6% and 16.4% respectively. Cosmesis counts occurred less commonly; 12.2%. 709 patients (49.6%) stated only a single expectation, 599 patients (41.9%) stated two expectations, 114 patients (8%) stated three expectations and 7 patients (0.5%) stated 4 expectations. Pain relief was the dominant expectation accounting for 515 counts (72.6%) of patients who provided only one response.
CONCLUSIONS
This paper demonstrates the expectations of a large cohort of podiatric surgery patients. For the most part patients expect pain relief, improved mobility and improved shoe fitting, while a small number of patients also expect a cosmetic improvement. Further research is required to determine the relationship between patient expectation and health related quality of life, and to determine whether podiatric surgery is successful in addressing the expectations of patients.
背景
患者的期望难以概念化，并且容易受到时间、健康和环境因素的影响而发生变化。患者期望会影响满意度，但对于接受足部手术的患者的期望知之甚少。本文将探讨接受择期足部手术的大量患者的期望。
方法
英国足部手术和临床结果测量（PASCOM）审核系统在 2004 年至 2010 年期间在南约克郡唐卡斯特对连续接受择期足部手术的患者进行了应用。收集与手术过程和患者期望相关的数据。在干预后 6 个月进行患者问卷调查。
结果
共完成 2910 例独特的手术入院，1869 例患者返回满意度问卷。共有 1430 例患者回答了第 1 个问题，该问题与患者的期望有关。缓解疼痛是最常见的期望，有 1191 例（52.3%），而鞋类和活动能力分别占 16.6%和 16.4%。美容计数较少；12.2%。709 例（49.6%）患者仅表示了一个期望，599 例（41.9%）患者表示了两个期望，114 例（8%）患者表示了三个期望，7 例（0.5%）患者表示了四个期望。缓解疼痛是占主导地位的期望，在只提供一个回答的 515 例（72.6%）患者中出现。
结论
本文展示了大量足部手术患者的期望。在大多数情况下，患者期望缓解疼痛，提高活动能力和改善鞋的贴合度，而少数患者还期望改善美容效果。需要进一步研究以确定患者期望与健康相关生活质量之间的关系，并确定足部手术是否成功满足患者的期望。
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