Keulen Mark H F, Teunis Teun, Vagner Gregg A, Ring David, Reichel Lee M
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX.
Department of Plastic Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
J Hand Surg Am. 2018 Dec;43(12):1141.e1-1141.e9. doi: 10.1016/j.jhsa.2018.04.020. Epub 2018 Jun 8.
The purpose of this study was to examine whether positively or negatively phrased Patient-Reported Outcome Measures (PROMs) prior to a visit with the hand surgeon affect patient perceived empathy and patient satisfaction (Patient-Reported Experience Measures [PREMs]).
Between June 2017 and July 2017, we enrolled 134 patients who presented to 3 hand surgeons at 2 outpatient offices. They were randomly assigned to 1 of 2 groups: completion of negatively framed questionnaires (Patient Health Questionnaire [PHQ-2], Pain Catastrophizing Scale [PCS-4], and Patient-Reported Outcomes Measurement Information System [PROMIS] depression Computer Adaptive Test [CAT]) or completion of positively framed questionnaires (Pain Self-Efficacy Questionnaire [PSEQ-2]) prior to the visit. At the end of the visit, all patients completed questionnaires on patient-perceived physician empathy and patient satisfaction. Five patients were excluded from the analysis after randomization.
There was no statistically significant differences between groups on patient-perceived physician empathy and patient satisfaction.
Our findings suggest that the content of psychological questionnaires completed prior to the visit does not affect patient satisfaction and perceived empathy recorded after the visit.
Given the degree to which PROMs are influenced by psychosocial factors, and prior evidence that PROMs are primed by negatively framed questionnaires, it is reassuring that negatively framed PROMs did not affect PREMs, but more research is merited.
本研究旨在探讨在手部外科医生就诊前，以积极或消极措辞表述的患者报告结局测量指标（PROMs）是否会影响患者感知到的同理心和患者满意度（患者报告体验测量指标[PREMs]）。
在2017年6月至2017年7月期间，我们招募了134名到2个门诊办公室的3位手部外科医生处就诊的患者。他们被随机分配到2组中的1组：就诊前完成消极措辞问卷（患者健康问卷[PHQ - 2]、疼痛灾难化量表[PCS - 4]和患者报告结局测量信息系统[PROMIS]抑郁计算机自适应测试[CAT]）或完成积极措辞问卷（疼痛自我效能问卷[PSEQ - 2]）。就诊结束时，所有患者完成关于患者感知到的医生同理心和患者满意度的问卷。随机分组后有5名患者被排除在分析之外。
在患者感知到的医生同理心和患者满意度方面，两组之间无统计学显著差异。
我们的研究结果表明，就诊前完成的心理问卷内容不会影响就诊后记录的患者满意度和感知到的同理心。
鉴于PROMs受心理社会因素影响的程度，以及先前有证据表明消极措辞问卷会启动PROMs，令人放心的是消极措辞的PROMs并未影响PREMs，但仍值得进行更多研究。
