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住院患者的就医体验因素与健康相关生活质量

Patient Experience Factors and Health-Related Quality of Life in Hospitalized Individuals.

作者信息

Alaloul Fawwaz, Myers John, Masterson Katlin M, DiCicco Joey, Perry Collins Michelle, Hogan Felicia, Roesler Luke, Logsdon M Cynthia

机构信息

University of Louisville.

Norton Healthcare.

出版信息

Oncol Nurs Forum. 2019 Mar 1;46(2):238-247. doi: 10.1188/19.ONF.238-247.

Abstract

PURPOSE

To identify a relationship between patient satisfaction with the hospital experience and health-related quality of life (HRQOL), as well as determine predictors of each variable.

PARTICIPANTS & SETTING: 50 patients with cancer in two adult oncology units in an academic health sciences center.

METHODOLOGIC APPROACH

A descriptive, cross-sectional design was used. Patient satisfaction was measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and HRQOL was assessed using the Quality of Life Patient/Cancer Survivor (QOL-CS) version.

FINDINGS

Patients who were single, diagnosed for 6-10 years, and diagnosed for 11 years or longer had significantly lower patient satisfaction scores. Patients with public insurance, diagnosed for 6-10 years, and diagnosed for 11 years or longer had lower QOL-CS scores. Physical and social well-being scores were associated with higher HCAHPS scores. There was a positive relationship between patient satisfaction and physical and social functioning. Patient demographics were related to patient satisfaction and HRQOL.

IMPLICATIONS FOR NURSING

Nurses should have measurable goals to provide high-quality care to patients with cancer, including satisfaction during hospitalization and promotion of HRQOL.

摘要

目的

确定患者对医院体验的满意度与健康相关生活质量(HRQOL)之间的关系,并确定每个变量的预测因素。

参与者与设置

学术健康科学中心两个成人肿瘤科室的50名癌症患者。

方法学方法

采用描述性横断面设计。通过医院医疗服务提供者及系统消费者评估(HCAHPS)来衡量患者满意度,并使用生活质量患者/癌症幸存者(QOL-CS)版本评估HRQOL。

研究结果

单身、确诊6至10年以及确诊11年及以上的患者,其患者满意度得分显著较低。拥有公共保险、确诊6至10年以及确诊11年及以上的患者,其QOL-CS得分较低。身体和社会幸福感得分与较高的HCAHPS得分相关。患者满意度与身体和社会功能之间存在正相关关系。患者人口统计学特征与患者满意度和HRQOL相关。

对护理的启示

护士应制定可衡量的目标,为癌症患者提供高质量护理,包括住院期间的满意度和促进HRQOL。

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