Okonta K E, Ogaji D S
Department of Surgery, University of Port Harcourt, Choba, Nigeria.
Department of Preventive and Social Medicine, University of Port Harcourt, Choba, Nigeria.
J Patient Exp. 2020 Dec;7(6):1556-1562. doi: 10.1177/2374373520942402. Epub 2020 Jul 17.
The relationship between patient satisfaction with surgical care and their willingness to comply with doctors' recommendations has not been studied in the country. This study determined the relationship between ambulatory patients' satisfaction with care and their willingness to adhere to the surgeons' recommendations in the surgical outpatient clinic (SOPC) of the University Teaching Hospital. This analytical cross-sectional study was conducted among 490 adult respondents at the SOPC selected through a systematic sampling method with a sample interval of 1:2. The short form of the Patient Satisfaction Questionnaire with 7 domains and tool developed for patient willingness to comply with surgeons' recommendations were used. Descriptive and inferential analyses were performed, and values of <.05 were considered significant. A total of 466 respondents' data were analyzed, giving a response rate of 95.1%. About 52.8% were males and 47.2% were females. The associations between domains of patient satisfaction and willingness to surgical instructions were mostly weak and nonsignificant. Their satisfaction with communication with the surgeons was the most consistent predictor of patient willingness and showed significant relationships with their willingness to accept follow-up visits ( = .002), drug prescription ( < .001), and further investigation ( < .001). Access/convenience and general satisfaction were significantly associated with their willingness to recommend the surgery clinic to close friends and relatives. Patient satisfaction with care has a significant relationship with their willingness to adhere to surgical recommendations.
该国尚未对患者对手术护理的满意度与其遵守医生建议的意愿之间的关系进行研究。本研究确定了大学教学医院外科门诊(SOPC)中门诊患者对护理的满意度与其遵守外科医生建议的意愿之间的关系。本分析性横断面研究在SOPC的490名成年受访者中进行,这些受访者通过系统抽样方法选取,抽样间隔为1:2。使用了具有7个领域的患者满意度调查问卷简表以及为患者遵守外科医生建议的意愿开发的工具。进行了描述性和推断性分析,P值<.05被认为具有统计学意义。共分析了466名受访者的数据,回复率为95.1%。约52.8%为男性,47.2%为女性。患者满意度各领域与遵守手术指导意愿之间的关联大多较弱且无统计学意义。他们对与外科医生沟通的满意度是患者意愿最一致的预测因素,并且与他们接受随访的意愿(P = .002)、药物处方(P < .001)和进一步检查(P < .001)显示出显著关系。就诊便利性和总体满意度与他们向亲密朋友和亲戚推荐手术诊所的意愿显著相关。患者对护理的满意度与其遵守手术建议的意愿存在显著关系。