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产前联合胎儿医学与小儿外科咨询后的患者满意度

Patient Satisfaction after Antenatal Joint Fetal Medicine and Pediatric Surgery Counseling.

作者信息

Pritam Anuja, Kumar Manisha, Choudhary Subhasis Roy

机构信息

Department of Obstetrics and Gynecology, Lady Hardinge Medical College, New Delhi, India.

Department of Pediatric Surgery, KSCH, New Delhi, India.

出版信息

J Indian Assoc Pediatr Surg. 2020 Nov-Dec;25(6):357-362. doi: 10.4103/jiaps.JIAPS_154_19. Epub 2020 Oct 27.

Abstract

AIMS AND OBJECTIVES

The aim of this study was to find out the level of satisfaction among couples receiving antenatal counseling provided jointly by fetal medicine specialists and pediatric surgeons.

MATERIALS AND METHODS

This was a questionnaire-based observational study. A total of 110 consecutive couples who were antenatally diagnosed with fetal structural anomaly and received counseling by fetal medicine specialist and pediatric surgeon together, were given a validated patient satisfaction questionnaire (PSQ-18) after delivery to assess their level of satisfaction regarding the antenatal care they received.

RESULTS

A total of 120 couple responded to the questionnaire, mean gestational age at delivery was 33.8 ± 7.14 weeks. In PSQ, 75.8% gave high scores for general satisfaction, maximum subjects provided high scores for interpersonal manner (IM) (77.5%) and communication (77.5%), and the least number gave high scores for time spent with the doctor (50.8%) and accessibility (42.5%). The technical quality (TQ) subscale was significantly high for the stillbirth/abortion group compared to live birth ( = 0.020). Significantly high scores for TQ ( = 0.037) and IM ( = 0.023) were obtained in the <20 weeks group.

CONCLUSION

The joint counseling provided good interaction opportunity to the couple but still fell short of their expectations regarding time spent with the doctor and their accessibility.

摘要

目的与目标

本研究旨在了解接受胎儿医学专家和小儿外科医生联合提供产前咨询的夫妇的满意度水平。

材料与方法

这是一项基于问卷调查的观察性研究。共有110对连续的夫妇在产前被诊断出胎儿结构异常,并由胎儿医学专家和小儿外科医生共同进行咨询,在分娩后给予他们一份经过验证的患者满意度问卷(PSQ - 18),以评估他们对所接受的产前护理的满意度水平。

结果

共有120对夫妇回复了问卷,分娩时的平均孕周为33.8±7.14周。在PSQ中,75.8%的人对总体满意度给出高分,大多数受试者对人际态度(IM)(77.5%)和沟通(77.5%)给出高分,而对与医生相处时间(50.8%)和可及性(42.5%)给出高分的人数最少。与活产组相比,死产/流产组的技术质量(TQ)子量表得分显著更高(=0.020)。在孕周<20周的组中,TQ(=0.037)和IM(=0.023)得分显著更高。

结论

联合咨询为夫妇提供了良好的互动机会,但在与医生相处时间和可及性方面仍未达到他们的期望。

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