轮班工作对急诊科医患关系的影响。
Effect of shift work on patient-doctor relationship in emergency department.
作者信息
Shaker Hosein, Iraji Saeed, Naini Afsoon Emami, Jouibari Mir Abolfazl Motei, Ghavami Yaser
机构信息
Department of Emergency Medicine, Rasoul-Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Res Med Sci. 2011 Nov;16(11):1495-9.
BACKGROUND
This study aimed to find effect of shift work on patient-doctor relationship in Emergency Department.
METHODS
In a prospective cross-sectional study, 352 patients (mean age of 44 ± 17 years, 131 females and 221 males) referred to the emergency department of Rasoul-Akram hospital were enrolled in the study. The patient-doctor relationship questionnaire (PDRQ) was asked to be filled by patients. The questionnaires contained 9 items and the appropriateness of the statements was simplified to a scale of 1 (not at all) through 5 (totally).
RESULTS
Comparing three shift works, the highest PDRQ score was for morning (27.1 ± 5.5) and the lowest value was for afternoon shift (23.8 ± 5.3). PDRQ score for night shift was 25.1 ± 6.9 (p = 0.002).
CONCLUSIONS
The results of this study encouraged that patients' satisfaction of relationship with doctors was the lowest in the afternoon and it may be better to implement some strategies to reduce residents' workloads and increase quality of works in the afternoon shifts.
背景
本研究旨在探讨轮班工作对急诊科医患关系的影响。
方法
在一项前瞻性横断面研究中，纳入了352名转诊至拉苏勒 - 阿克拉姆医院急诊科的患者（平均年龄44±17岁，女性131名，男性221名）。要求患者填写医患关系问卷（PDRQ）。问卷包含9个项目，陈述的恰当性简化为从1（完全不）到5（完全）的量表。
结果
比较三种轮班工作，PDRQ得分最高的是早班（27.1±5.5），最低的是中班（23.8±5.3）。夜班的PDRQ得分为25.1±6.9（p = 0.002）。
结论
本研究结果表明，患者对与医生关系的满意度在下午最低，可能最好实施一些策略来减轻住院医生的工作量，并提高中班的工作质量。
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