Hydes T, Yusuf A, Pearl D S, Trebble T M
Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, UK.
Frontline Gastroenterol. 2011 Oct;2(4):242-248. doi: 10.1136/fg.2011.004325. Epub 2011 May 4.
To determine patients' self-reported preferences and expectations for outpatient upper gastrointestinal (UGI) endoscopy, including patients' priorities in obtaining a satisfactory healthcare experience, preprocedure anxiety and its causes, and preferred staff roles.
A composite, dedicated endoscopy questionnaire was used. This included demographic information, validated Likert scale anxiety-related questions and a 15-point ranking scale of aspects of care (1=most important to satisfaction; 15=least important).
Unselected patients attending for an elective UGI endoscopy at two separate units were surveyed on randomly identified days.
A total of 202 out of 254 patients agreed to participate (79.5%). The values identified as most important to patients included technical skill (2.8) and personal manner of the endoscopist (4.9) and the nurses and support staff (5.8), control of discomfort (5.6) and adequacy of the preprocedure explanation (5.8). The factors considered least important included noise levels (12.5), privacy (10.7) and cleanliness (8.7). Moderate to severe anxiety was recorded in half of the patient cohort, predominantly due to anticipation of pain or the results of the procedure. Most patients preferred the endoscopist to discuss the findings of the endoscopy but expressed no preferences regarding the preprocedure explanation.
Patients undergoing UGI endoscopy appear to highly prioritise aspects of care relating to interaction with the endoscopist and the procedure itself. Environmental factors are considered to have much less value. These findings may assist in service redesign around patient-centred care and the development of patient satisfaction surveys in endoscopy.
确定患者对门诊上消化道（UGI）内镜检查的自我报告偏好和期望，包括患者在获得满意医疗体验方面的优先事项、检查前焦虑及其原因，以及偏好的医护人员角色。
使用了一份综合的、专门的内镜检查问卷。这包括人口统计学信息、经过验证的与焦虑相关的李克特量表问题，以及一个关于护理方面的15分排名量表（1 = 对满意度最重要；15 = 最不重要）。
在两个不同单位接受择期UGI内镜检查的未筛选患者在随机选定的日子接受调查。
254名患者中共有202名同意参与（79.5%）。对患者来说被认为最重要的因素包括技术技能（2.8）、内镜医师（4.9）以及护士和辅助人员（5.8）的个人态度、不适控制（5.6）和检查前解释的充分性（5.8）。被认为最不重要的因素包括噪音水平（12.5）、隐私（10.7）和清洁度（8.7）。一半的患者队列记录到中度至重度焦虑，主要是由于对疼痛或检查结果的预期。大多数患者希望内镜医师讨论内镜检查的结果，但对检查前解释没有偏好。
接受UGI内镜检查的患者似乎高度重视与内镜医师的互动和检查本身相关的护理方面。环境因素被认为价值要小得多。这些发现可能有助于围绕以患者为中心的护理进行服务重新设计，以及开发内镜检查患者满意度调查。
