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使用特定疾病患者满意度调查问卷评估囊性纤维化中心的患者体验。

Evaluating patient experience in a cystic fibrosis centre using a disease-specific patient satisfaction questionnaire.

作者信息

Ellemunter Helmut, Stahl Katja, Smrekar Ulrike, Steinkamp Gratiana

机构信息

CF Centre, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Division of Cardiology, Pulmonology, Allergology, Cystic Fibrosis, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

出版信息

Eur J Pediatr. 2015 Nov;174(11):1451-60. doi: 10.1007/s00431-015-2545-1. Epub 2015 May 6.

Abstract

UNLABELLED

Medical care for persons with chronic diseases like cystic fibrosis (CF) is provided by multi-professional teams. We assessed the patients' perspective of care by reporting the results of two consecutive patient satisfaction surveys performed within a 2-year interval at our CF centre. The newly developed, disease-specific questionnaire for parents and adults had 104 items with up to 6 response categories each. For data analysis, responses were dichotomized into a problem score with 0 % as the ideal result. Adolescents were surveyed using a different questionnaire. Seventy-six and 89 respondents, respectively, took part in the 2009 and 2011 surveys (response rates: 72 to 84 %). In 2009, the ideal problem score of 0 % was reported for 18 and 20 % of all items in adults and parents, respectively. Thirteen items had a problem score >30 %. After the whole team had implemented quality improvement measures, the 2011 survey showed a >10 % decrease in problem scores for 11 and 21 % of items in the adults and parents groups, respectively. Adolescents also reported better experiences in 2011 than in 2009.

CONCLUSION

Exploring the patients' perspectives aids to identify strengths and weaknesses and helps to provide patient-centred care, which is important for persons with chronic illness.

摘要

未标注

像囊性纤维化(CF)这类慢性病患者的医疗护理由多专业团队提供。我们通过报告在我们的CF中心间隔两年进行的两次连续患者满意度调查结果,评估了患者对护理的看法。新开发的针对家长和成年人的疾病特异性问卷有104个项目,每个项目最多有6个回答类别。为了进行数据分析,回答被二分法化为问题得分,理想结果为0%。青少年使用不同的问卷进行调查。分别有76名和89名受访者参加了2009年和2011年的调查(回复率:72%至84%)。2009年,成年人和家长所有项目中分别有18%和20%的项目理想问题得分为0%。有13个项目的问题得分>30%。在整个团队实施质量改进措施后,2011年的调查显示,成年人组和家长组中分别有11%和21%的项目问题得分下降超过10%。青少年在2011年的体验也比2009年更好。

结论

探索患者的看法有助于识别优势和劣势,并有助于提供以患者为中心的护理,这对慢性病患者很重要。

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