Hockman Lukas, Bailey Jacob, Sanders Jacob, Muzzey Catherine, Wakefield Mark, Christensen Amy, Murray Katie
Division of Urology, Department of Surgery, School of Medicine, University of Missouri, Columbia, Missouri, USA.
Department of Health Management and Informatics, University of Missouri, Columbia, Missouri, USA.
Res Rep Urol. 2020 Oct 8;12:447-453. doi: 10.2147/RRU.S269405. eCollection 2020.
To evaluate patient satisfaction (with emphasis on preoperative education) with radical cystectomy for bladder cancer at our institution, the University of Missouri Hospital, qualitatively in order to identify specific areas where improvements can be made.
We developed a patient survey that used open-ended questions to identify positive and negative experiences that contributed to patient satisfaction. We administered the survey to radical cystectomy patients who met inclusion criteria and agreed to participate. We recorded, transcribed and qualitatively coded the responses. We identified four themes under which both positive and negative responses were placed, and constructed two diagrams to better illustrate contributors to patient experience and satisfaction.
We identified 25 patients who met inclusion criteria. Of those, 13 participated in the survey. Regarding overall experience, 92.3% of patients rated their care as excellent or good. Regarding preoperative education, 76.9% of patients reported they definitely or somewhat received enough information on what to expect after surgery, and 76.9% definitely received enough guidance on how to care for themselves after surgery. From qualitative coding of patient responses to open-ended questions, we identified preoperative preparation, delivery of care, caregiver availability, and patient-centered care as themes that contributed positively and negatively to patient experience.
Although the overall patient satisfaction could be perceived as high (92.3%), qualitative analysis revealed several areas where improvements can be made to improve patient experience with radical cystectomy at our institution. As previously expected, preoperative preparation was a contributor.
在我们密苏里大学医院，为了定性评估膀胱癌根治性膀胱切除术患者的满意度（重点是术前教育），以确定可改进的具体领域。
我们设计了一份患者调查问卷，使用开放式问题来确定对患者满意度有影响的正面和负面经历。我们对符合纳入标准并同意参与的根治性膀胱切除术患者进行了调查。我们记录、转录并对回答进行了定性编码。我们确定了四个主题，将正面和负面回答都归入其中，并构建了两个图表以更好地说明影响患者体验和满意度的因素。
我们确定了25名符合纳入标准的患者。其中，13名参与了调查。关于总体体验，92.3%的患者将他们接受的护理评为优秀或良好。关于术前教育，76.9%的患者报告他们肯定或在一定程度上获得了关于术后预期情况的足够信息，76.9%的患者肯定获得了关于术后如何自我护理的足够指导。通过对患者对开放式问题回答的定性编码，我们确定术前准备、护理提供、护理人员可及性和以患者为中心的护理是对患者体验有正面和负面影响的主题。
尽管总体患者满意度可能被认为较高（92.3%），但定性分析揭示了几个领域，在这些领域可以进行改进，以提升我们机构中膀胱癌根治性膀胱切除术患者的体验。如先前预期的那样，术前准备是一个影响因素。
