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急诊分诊对接受治疗服务等待时间及患者满意度的影响:来自伊朗的实例

Triage effect on wait time of receiving treatment services and patients satisfaction in the emergency department: Example from Iran.

作者信息

Khankeh Hamid-Reza, Khorasani-Zavareh Davoud, Azizi-Naghdloo Farah, Hoseini Mohammad-Ali, Rahgozar Mahdi

机构信息

Disaster Rehabilitation Research Center, School of Nursing, University of Social Welfare and Rehabilitation Science, Tehran, Iran ; Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.

出版信息

Iran J Nurs Midwifery Res. 2013 Jan;18(1):79-83.

Abstract

BACKGROUND

Long wait time interval in emergency department (ED) of hospitals, from the patients' point of view in ED is a major problem causing patients' dissatisfaction and may result increasing in patient morbidity and indirectly nurses dissatisfaction. Evaluation of wait time intervals in ED and giving nursing feedback may improve the quality of services, as well as patient satisfaction. The present study was designed to investigate the effect of nursing triage on receiving treatment of wait time interval and satisfaction of the patients referring to ED in Shahid Rajaee hospital.

MATERIALS AND METHODS

This study was conducted on patients those referring to Shahid Rajaee hospital in Karaj, Iran employing quasi experimental design d ividing in two experiment and control groups during 2009. This is a quasi-experimental study of which the data were collected by standard questionnaire covering patient satisfaction and measuring wait time. T-test, Mann-Whitney and frequency analysis were used to evaluate the effect of triage on wait time from receiving treatment services and patients' satisfaction.

RESULTS

The findings showed that there was a significant difference between experiment and control groups regarding wait time from receiving treatment services and patients' satisfaction.

CONCLUSIONS

Triage could significantly reduce the wait time interval between patients' entrance to ED to receive treatment services and enhance patients' satisfaction. It may help nursing in emergency ward to have better performance and indirectly their satisfaction.

摘要

背景

从患者角度来看,医院急诊科漫长的等待时间是导致患者不满的主要问题,可能会增加患者的发病率,也会间接导致护士的不满。评估急诊科的等待时间并给予护理反馈,可能会提高服务质量以及患者满意度。本研究旨在调查护理分诊对转诊至沙希德拉贾伊医院急诊科患者等待治疗时间和满意度的影响。

材料与方法

本研究于2009年对转诊至伊朗卡拉季沙希德拉贾伊医院的患者进行,采用准实验设计,分为实验组和对照组。这是一项准实验研究,通过涵盖患者满意度和测量等待时间的标准问卷收集数据。采用t检验、曼-惠特尼检验和频率分析来评估分诊对接受治疗服务的等待时间和患者满意度的影响。

结果

研究结果表明,实验组和对照组在接受治疗服务的等待时间和患者满意度方面存在显著差异。

结论

分诊可显著缩短患者进入急诊科接受治疗服务的等待时间间隔,并提高患者满意度。这可能有助于急诊科的护理工作表现得更好,也能间接提高护士的满意度。

相似文献

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Satisfied Patients Exiting the Emergency Department (SPEED) Study.急诊科满意患者出院(SPEED)研究
Acad Emerg Med. 2002 Jan;9(1):15-21. doi: 10.1111/j.1553-2712.2002.tb01161.x.

本文引用的文献

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[Satisfied companion, a quality indicator in emergencies].[满意的陪伴,紧急情况下的一个质量指标]
Rev Calid Asist. 2011 Jan-Feb;26(1):47-53. doi: 10.1016/j.cali.2010.07.004. Epub 2011 Feb 1.
6
Patients who leave the emergency department without being seen.未经诊治就离开急诊科的患者。
J Emerg Nurs. 2009 Apr;35(2):105-8. doi: 10.1016/j.jen.2008.05.006. Epub 2008 Aug 27.

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