Hanna Marie N, González-Fernández Marlís, Barrett Ashlea D, Williams Kayode A, Pronovost Peter
Department of Anesthesiology, Johns Hopkins University, Baltimore, MD 21287, USA.
Am J Med Qual. 2012 Sep-Oct;27(5):411-6. doi: 10.1177/1062860611427769. Epub 2012 Feb 16.
In this study, the relationship between patients' perceptions of pain control during hospitalization and their overall satisfaction with care was examined. Satisfaction data were collected from the federally mandated Hospital Consumer Assessment of Healthcare Providers and Systems survey for 4349 adult patients admitted to any surgical unit over an 18-month period. Patients' perceptions of pain control and staff's efforts to control pain were associated with their overall satisfaction scores. These perceptions varied widely among services and nursing units. Interestingly, patient satisfaction was more strongly correlated with the perception that caregivers did everything they could to control pain than with pain actually being well controlled. The odds of a patient being satisfied were 4.86 times greater if pain was controlled and 9.92 times greater if the staff performance was appropriate. Hospitals may improve their patients' satisfaction by focusing on improving the culture of pain management.
在本研究中，调查了患者在住院期间对疼痛控制的认知与他们对护理的总体满意度之间的关系。满意度数据来自联邦政府强制要求的医疗服务提供者和系统医院消费者评估调查，该调查针对18个月内入住任何外科病房的4349名成年患者。患者对疼痛控制的认知以及工作人员控制疼痛的努力与他们的总体满意度得分相关。这些认知在不同科室和护理单元之间差异很大。有趣的是，患者满意度与认为护理人员尽一切可能控制疼痛的认知的相关性，比与实际疼痛得到良好控制的相关性更强。如果疼痛得到控制，患者感到满意的几率会高出4.86倍；如果工作人员表现得当，这一几率会高出9.92倍。医院可以通过专注于改善疼痛管理文化来提高患者满意度。
