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荷兰晚期癌症住院患者的护理满意度。

Satisfaction with care of hospitalised patients with advanced cancer in the Netherlands.

作者信息

Engel Marijanne, Brinkman-Stoppelenburg Arianne, Nieboer Daan, van der Heide Agnes

机构信息

Department of Public Health, Erasmus Medical Center, Rotterdam, the Netherlands.

出版信息

Eur J Cancer Care (Engl). 2018 Sep;27(5):e12874. doi: 10.1111/ecc.12874. Epub 2018 Jul 11.

Abstract

We aimed to assess the level of satisfaction with hospital care of patients with advanced cancer and its association with quality of life and other patient characteristics. Eligible patients were asked to fill out the EORTC INPATSAT-32 questionnaire, measuring patient satisfaction, and the EORTC QLQ-C15-PAL, measuring quality of life. Factor analysis was performed to identify underlying patterns in satisfaction. Multivariable regression analyses were used to assess associations of quality of life and other patient characteristics with satisfaction. A total of 105 patients participated in the study. The mean general satisfaction score was 72 (SD 21). Factor analysis identified three underlying dimensions: satisfaction with nurses (explaining 62.1% of the total variance), satisfaction with physicians (7.7%) and satisfaction with hospital services (5.3%). Associations were found between global health and general satisfaction (β = 0.35, p = 0.01), and between emotional functioning and satisfaction with hospital services (β = 0.016, p < 0.01). Further, diagnosis of breast cancer was associated with satisfaction with physicians (β = 1.06, p < 0.01) and dyspnoea with satisfaction with hospital services (β = 0.007, p = 0.03). Patients with advanced cancer are reasonably satisfied with hospital care. The INPATSAT-32 mainly measures satisfaction with nurses. Satisfaction with care and quality of life seems to represent distinct outcomes of hospital care in patients with advanced cancer.

摘要

我们旨在评估晚期癌症患者对医院护理的满意度水平及其与生活质量和其他患者特征的关联。符合条件的患者被要求填写欧洲癌症研究与治疗组织(EORTC)的INPATSAT - 32问卷(用于测量患者满意度)和EORTC QLQ - C15 - PAL问卷(用于测量生活质量)。进行因子分析以确定满意度的潜在模式。使用多变量回归分析来评估生活质量和其他患者特征与满意度的关联。共有105名患者参与了该研究。总体满意度平均得分为72分(标准差为21)。因子分析确定了三个潜在维度:对护士的满意度(解释总方差的62.1%)、对医生的满意度(7.7%)和对医院服务的满意度(5.3%)。发现总体健康状况与总体满意度之间存在关联(β = 0.35,p = 0.01),以及情绪功能与对医院服务的满意度之间存在关联(β = 0.016,p < 0.01)。此外,乳腺癌诊断与对医生的满意度相关(β = 1.06,p < 0.01),呼吸困难与对医院服务的满意度相关(β = 0.007,p = 0.03)。晚期癌症患者对医院护理的满意度较高。INPATSAT - 32主要测量对护士的满意度。对护理的满意度和生活质量似乎代表了晚期癌症患者医院护理的不同结果。

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