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2014年某大学转诊与教学医院患者对围手术期外科服务的满意度及相关因素:一项横断面研究

Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study.

作者信息

Gebremedhn Endale Gebreegziabher, Lemma Girmay Fitiwi

机构信息

Department of Anaesthesia, School of Medicine, Gondar College of Medicine and Health Sciences, the University of Gondar, Gondar, Ethiopia.

出版信息

Pan Afr Med J. 2017 Jul 5;27:176. doi: 10.11604/pamj.2017.27.176.10671. eCollection 2017.

Abstract

INTRODUCTION

Globally, increasing consideration has been given to the assessment of patient satisfaction as a method of monitor of the quality of health care provision in the health institutions. Perioperative patient satisfaction has been contemplated to be related with the level of postoperative pain intensity, patients' expectation of the outcome, patient health provider relationship, inpatient services, hospital facilities, access to care, waiting time, cost and helpfulness of treatments received. The study aimed to assess the level of patient satisfaction with perioperative surgical services and associated factors.

METHODS

Hospital based quantitative cross-sectional study was conducted in University of Gondar teaching hospital from April1-30, 2014. Structured Amharic version questionnaire and checklist used for data collection. All patients who operated upon during the study period were included. Both bivariate and multivariate logistic regression model used to identify the variables which had association with the dependent variable. P-values < 0.05 were considered statistically significant.

RESULTS

Two hundred and seventy eight patients underwent surgery during the study period. Nine patients were excluded due to refusal to participate in the study. A total of 269 out of 278 patients were included in the study with a response rate of 96.8%. The overall level of patient satisfaction with perioperative surgical services was 98.1%. The variables that had association with the outcome variable from the multivariate analysis were patient admission status (AOR=0.073, CI=0.007-0.765, P=0.029), information about the disease and operation (AOR=0.010, CI=0.001-0.140, P=0.001) and operation theatre staff attention to the patients complains (AOR=0.028, CI=0.002-0.390, P=0.008) respectively.

CONCLUSION

The level of patient satisfaction with perioperative surgical services was high compared with previous studies conducted in the country and other countries in the world. Health professionals need to give emphasis for information on care provision processes, patients' health progress and patients' complaints.

摘要

引言

在全球范围内,人们越来越重视将患者满意度评估作为监测医疗机构医疗服务质量的一种方法。围手术期患者满意度被认为与术后疼痛强度水平、患者对手术结果的期望、医患关系、住院服务、医院设施、就医便利性、等待时间、费用以及所接受治疗的帮助程度有关。本研究旨在评估患者对围手术期手术服务的满意度水平及相关因素。

方法

2014年4月1日至30日在贡德尔大学教学医院进行了一项基于医院的定量横断面研究。使用结构化阿姆哈拉语版本问卷和清单收集数据。纳入研究期间所有接受手术的患者。采用双变量和多变量逻辑回归模型来识别与因变量相关的变量。P值<0.05被认为具有统计学意义。

结果

研究期间有278例患者接受了手术。9例患者因拒绝参与研究而被排除。278例患者中共有269例纳入研究,回复率为96.8%。患者对围手术期手术服务的总体满意度水平为98.1%。多变量分析中与结果变量相关的变量分别为患者入院状态(调整后比值比[AOR]=0.073,置信区间[CI]=0.007 - 0.765,P=0.029)、疾病和手术信息(AOR=0.010,CI=0.001 - 0.140,P=0.001)以及手术室工作人员对患者投诉的关注程度(AOR=0.028,CI=0.002 - 0.390,P=0.008)。

结论

与该国及世界其他国家此前开展的研究相比,患者对围手术期手术服务的满意度水平较高。卫生专业人员需要重视提供护理过程信息、患者健康进展情况以及患者投诉。

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