Department of Otolaryngology, George Washington University, Washington, DC, USA.
Otolaryngol Head Neck Surg. 2014 May;150(5):739-49. doi: 10.1177/0194599814527232. Epub 2014 Mar 26.
This study seeks to synthesize evidence-based findings related to patient satisfaction as a process measure in pediatric surgical care.
PubMed, CINAHL, Scopus, and the Cochrane Central Register of Controlled Trials.
We queried 4 standard search engines (1992-2013) for studies specific to pediatric surgical fields in which patient or parent satisfaction or experience of care was a primary outcome measure. Data were systematically analyzed to determine study characteristics, setting, parent or patient focus, measure of experience, and bias. Two independent investigators independently reviewed all articles.
The initial search yielded 4748 publications (1503 duplicates), of which 170 underwent full-text review. Thirty-five were included for analysis; the majority (24/35,77%) were published in the last 5 years. Studies examined experience of the child (3/35), parent (23/35), or both (9/35). Experience and satisfaction were evaluated either by validated self-assessment instruments (8), by satisfaction tools (8), or by nonstandard institutional or author-developed tools (19). Experience was measured in the outpatient (7), preoperative (11), operative (14), and postoperative (3) care settings. Specific findings were unique to setting; however, in many studies higher satisfaction correlated with education/information giving, health care provider interpersonal behaviors, and facile/efficient care processes.
The patient experience of care is a valuable quality measure that is being more frequently evaluated as a mechanism to improve pediatric surgical care processes. Findings related to patient satisfaction and experience of care may be limited due to lack of measurement using validated tools. Findings from this review may bear significance as patient experience measures become routinely integrated with quality and reimbursement.
本研究旨在综合有关患者满意度的循证发现，将其作为儿科手术护理的过程性指标。
PubMed、CINAHL、Scopus 和 Cochrane 对照试验中心注册库。
我们查询了 4 个标准搜索引擎（1992 年至 2013 年），以获取特定于儿科外科领域的研究，这些研究将患者或其家长对护理的满意度或体验作为主要的结局测量指标。我们对数据进行了系统分析，以确定研究的特征、背景、家长或患者的关注点、体验的测量方法和偏倚。两位独立的研究者对所有文章进行了独立审查。
最初的搜索产生了 4748 篇出版物（1503 篇重复），其中有 170 篇进行了全文审查。有 35 篇被纳入分析；其中大多数（24/35，77%）是在过去 5 年发表的。研究考察了儿童（3/35）、家长（23/35）或两者（9/35）的体验。体验和满意度评估要么采用了经过验证的自我评估工具（8 项），要么采用了满意度工具（8 项），要么采用了非标准的机构或作者开发的工具（19 项）。体验评估分别在门诊（7）、术前（11）、手术（14）和术后（3）护理环境中进行。特定的发现仅适用于特定的环境；然而，在许多研究中，更高的满意度与教育/信息提供、医疗保健提供者的人际行为以及便捷/高效的护理过程相关。
患者对护理的体验是一种有价值的质量测量指标，它作为一种改善儿科手术护理过程的机制，越来越受到重视。由于缺乏使用经过验证的工具进行测量，患者满意度和体验的发现可能受到限制。本研究的发现可能具有重要意义，因为患者体验测量指标正逐渐与质量和报销相结合。
