Schimpf Megan O, Fenner Dee E, Smith Tovia M, Tucker Julie, Berger Mitchell B
From the *University of Michigan, Ann Arbor, MI; and †Virginia Women's Center, Richmond, VA.
Female Pelvic Med Reconstr Surg. 2016 Nov/Dec;22(6):430-432. doi: 10.1097/SPV.0000000000000305.
We studied our practice of using nurse telephone follow-up under physician direction to assess symptom improvement and patient satisfaction.
Women were recruited when their clinical care merited nurse telephone follow-up in the opinion of the attending physician. Women specified a preferred telephone number and completed a symptom questionnaire at the time of enrollment. Nursing telephone follow-up was completed at an interval prescribed by the attending physician to answer specified clinical questions. Approximately 3 months after the initial in-office visit, a satisfaction questionnaire and repeat symptom measure were mailed to the subjects.
A convenience sample of 83 women was analyzed. Of those, 91.6% were reached by telephone, and 47.0% returned the follow-up questionnaire. Mean (SD) age was 56.8 (16.6) years (range, 20-89 years). Younger women were less likely to be able to be contacted by telephone (P = 0.02) and less likely to return the questionnaire (P = 0.02). Most common diagnoses were overactive bladder and mixed urinary incontinence. Satisfaction rates were high, and level of convenience for patients was high. Women indicated an ease of speaking over the telephone about their condition and confidence in the treatment plan. Satisfaction with telephone follow-up did not significantly differ based on age or diagnosis.
Patient satisfaction was high for nurse telephone follow-up to replace in-office visits for selected diagnoses. This care strategy deserves further consideration for reimbursement purposes as health care evolves.
我们研究了在医生指导下使用护士电话随访来评估症状改善情况和患者满意度的实践。
在主治医生认为临床护理值得进行护士电话随访时招募女性患者。女性患者指定一个首选电话号码，并在登记时完成一份症状问卷。护士电话随访按照主治医生规定的时间间隔进行，以回答特定的临床问题。在首次门诊就诊约3个月后，向受试者邮寄一份满意度问卷和重复症状测量表。
对83名女性的便利样本进行了分析。其中，91.6%通过电话联系上，47.0%返回了随访问卷。平均（标准差）年龄为56.8（16.6）岁（范围20 - 89岁）。年轻女性通过电话被联系上的可能性较小（P = 0.02），返回问卷的可能性也较小（P = 0.02）。最常见的诊断是膀胱过度活动症和混合性尿失禁。满意度较高，患者的便利程度较高。女性表示通过电话谈论自己的病情很轻松，对治疗方案有信心。对电话随访的满意度在年龄或诊断方面没有显著差异。
对于选定诊断，用护士电话随访取代门诊就诊，患者满意度较高。随着医疗保健的发展，这种护理策略在报销方面值得进一步考虑。
