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第三磨牙手术后患者满意度的非手术预测因素

Non surgical predicting factors for patient satisfaction after third molar surgery.

作者信息

Balaguer-Martí José-Carlos, Aloy-Prósper Amparo, Peñarrocha-Oltra Amparo, Peñarrocha-Diago Miguel

机构信息

Clínicas odontológicas, Gascó Oliag 1, 46021- Valencia, Spain,

出版信息

Med Oral Patol Oral Cir Bucal. 2016 Mar 1;21(2):e201-5. doi: 10.4317/medoral.20719.

Abstract

BACKGROUND

In the third molar surgery, it is important to focus not only on surgical skills, but also on patient satisfaction. Classically studies have been focused on surgery and surgeon's empathy, but there are non-surgical factors that may influence patient satisfaction.

MATERIAL AND METHODS

A cross-sectional study was performed on 100 patients undergoing surgical extractions of impacted mandibular third molars treated from October 2013 to July 2014 in the Oral Surgery Unit of the University of Valencia. A questionnaire (20 questions) with a 10-point Likert scale was provided. The questionnaire assessed the ease to find the center, the ease to get oriented within the center, the burocratic procedures, the time from the first visit to the date of surgical intervention, waiting time in the waiting room, the comfort at the waiting room, the administrative staff (kindness and efficiency to solve formalities), medical staff (kindness, efficiency, reliability, dedication), personal data care, clarity in the information received (about the surgery, postoperative care and resolution of the doubts), available means and state of facilities. Outcome variables were overall satisfaction and recommendation of the center. Statistical analysis was made using the multiple linear regression analysis.

RESULTS

Significant correlations were found between all variables and overall satisfaction. The multiple regression model showed that the efficiency of the surgeon and the clarity of the information were statistically significant to overall satisfaction and recommendation of the center. The kindness of the administrative staff, available means, the state of facilities and the comfort at the waiting room were statistically significant to the recommendation of the center.

CONCLUSIONS

Patient satisfaction directly depends on the efficiency of the surgeon and clarity of the clinical information received about the procedure. Appreciation of these predictive factors may help clinicians to provide optimal care for impacted third molar surgery patients.

摘要

背景

在第三磨牙手术中,不仅要关注手术技巧,患者满意度也很重要。传统研究主要集中在手术和外科医生的同理心,但也存在一些非手术因素可能影响患者满意度。

材料与方法

对2013年10月至2014年7月在瓦伦西亚大学口腔外科接受下颌阻生第三磨牙手术拔除的100例患者进行了横断面研究。提供了一份包含20个问题的10分制李克特量表问卷。该问卷评估了找到中心的难易程度、在中心内找到方向的难易程度、官僚程序、从首次就诊到手术干预日期的时间、在候诊室的等待时间、候诊室的舒适度、行政人员(办理手续的友善程度和效率)、医务人员(友善程度、效率、可靠性、敬业精神)、个人数据保护、所获信息(关于手术、术后护理和疑问解答)的清晰度、可用设施和设施状况。结果变量为对中心的总体满意度和推荐度。采用多元线性回归分析进行统计分析。

结果

所有变量与总体满意度之间均存在显著相关性。多元回归模型显示,外科医生的效率和信息清晰度对中心的总体满意度和推荐度具有统计学意义。行政人员的友善程度、可用设施、设施状况和候诊室的舒适度对中心的推荐度具有统计学意义。

结论

患者满意度直接取决于外科医生的效率和所获关于手术程序的临床信息的清晰度。认识到这些预测因素可能有助于临床医生为下颌阻生第三磨牙手术患者提供最佳护理。

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