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在开放式原发性鼻中隔成形术手术中评估患者期望、患者期望覆盖率与患者满意度之间的关系:一项前瞻性随机研究。

Evaluation of the relationship between patient expectation, patient expectation coverage rates and patient satisfaction in open primary septorhinoplasty surgery: a prospective randomized study.

机构信息

Department of Otorhinolaryngology, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2021 Jul;278(7):2337-2346. doi: 10.1007/s00405-020-06502-w. Epub 2021 Jan 2.

Abstract

PURPOSE

The aim of this study was to evaluate the relationship between preoperative patient expectation and postoperative patient expectation coverage rates and patient satisfaction.

METHODS

183 patients who underwent SRP for various reasons were divided into 6 groups according to surgical indication and the postoperative Rhinoplasty Outcome Evaluation Scale (ROE). The groups were evaluated in terms of preoperative expectation levels and postoperative expectation coverage rate.

RESULTS

When the patients were evaluated in terms of preoperative expectation levels, a significant difference was determined between the patients who underwent surgery for cosmetic reasons (86.15 ± 8.61) and those with functional reasons (79.24 ± 6.62) (p < 0.001). Similarly, the lowest patient expectation coverage rates were in the patient group with cosmetic reasons for the operation. When patients were grouped according to the ROE scores in the postoperative period and surgical indication, expectation was higher in the groups that were not satisfied with the results (Groups 2, 4 and 6). The highest expectation levels among the groups were seen in the dissatisfied patients who had undergone surgery for cosmetic reasons (92.17 ± 4.96). A strong positive correlation was found between expectation coverage rates and patient satisfaction (r 0.907, p < 0.001).

CONCLUSION

Determination and rationalization of the expectations of patients in the preoperative period is one of the factors that will increase the satisfaction of the patients about the surgical procedure.

摘要

目的

本研究旨在评估术前患者期望与术后患者期望覆盖率和患者满意度之间的关系。

方法

根据手术指征和术后鼻整形效果评估量表(ROE),将 183 名因各种原因接受 SRP 的患者分为 6 组。从术前期望水平和术后期望覆盖率两方面对这些组进行评估。

结果

当从术前期望水平评估患者时,手术原因是美容的患者(86.15±8.61)和手术原因是功能的患者(79.24±6.62)之间存在显著差异(p<0.001)。同样,手术原因是美容的患者的术后期望覆盖率最低。当根据术后 ROE 评分和手术指征对患者进行分组时,对结果不满意的患者组(第 2、4 和 6 组)的期望更高。在因美容原因接受手术而不满意的患者中,期望水平最高(92.17±4.96)。期望覆盖率与患者满意度之间存在强正相关(r=0.907,p<0.001)。

结论

在术前确定和合理化患者的期望是提高患者对手术过程满意度的因素之一。

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