Department of Hand Surgery, Plastic Surgery and Burns, Department of Biomedical and Clinical Sciences, Linköping University, Sweden.
Department of Anaesthesiology and Intensive Care, Linköping University, Sweden.
J Burn Care Res. 2022 Jan 5;43(1):249-255. doi: 10.1093/jbcr/irab091.
Previous studies have shown that burn patients were satisfied with the received care. Satisfaction was not strongly associated to burns or to psycho-social characteristics, suggesting that other factors, related to burn care specific aspects, may be important. The aim of this study was to analyze the independent effect of provided workload on the general satisfaction in adult patients at a Swedish national Burn Centre. The study population (n = 122) included patients ≥18 years, treated at the Linköping Burn Centre between 2016 and 2017. Experienced burn care was evaluated with the PS-RESKA survey (score range: 0-4), and provided workload was scored with the Burn Scoring System (BSC). Groups were compared with χ 2 test, MW test, or Fisher´s exact test. Multivariable logistic regression analyzed the independent effect of BSC on the outcome High Satisfaction (= score ≥3 to the survey-question: "How would you score your global experience at the Burn Centre?"). In-patients (n = 60) had more often larger burns and required more workload than out-patients (median[IQR]: TBSA% = 6.3 [3-12.3] % vs. 0.7 [0.3-2] %, p < .001; BSC = 65 [25.5-135.5] vs. 6 [4-9], p < .001). Both groups were highly satisfied with the experienced care (mean score [SD] = 3.68 [0.57] vs. 3.41 [0.77], p = .03). Neither characteristics of the patients (age, sex), nor TBSA% nor provided workload (BSC) were independently associated with High Satisfaction. Regardless of burn severity, demographics and provided workload, adult patients with burns were highly satisfied with the experienced burn care. This finding suggested that the reason of the satisfaction was multifactorial.
先前的研究表明,烧伤患者对所接受的治疗感到满意。满意度与烧伤程度或心理社会特征没有密切关联,这表明其他与烧伤护理特定方面相关的因素可能很重要。本研究旨在分析瑞典国家烧伤中心成人患者的工作量对总体满意度的独立影响。研究人群(n = 122)包括 2016 年至 2017 年在林雪平烧伤中心接受治疗的年龄≥18 岁的患者。经验性烧伤护理采用 PS-RESKA 量表(评分范围:0-4)进行评估,提供的工作量采用烧伤评分系统(BSC)进行评分。采用卡方检验、MW 检验或 Fisher 精确检验比较各组。多变量逻辑回归分析 BSC 对高满意度(=评分≥3 至调查问题:“您如何为烧伤中心的整体体验评分?”)结果的独立影响。住院患者(n = 60)的烧伤面积较大,所需工作量多于门诊患者(中位数[IQR]:TBSA%=6.3[3-12.3]%比 0.7[0.3-2]%,p<0.001;BSC=65[25.5-135.5]比 6[4-9],p<0.001)。两组患者对所接受的护理均非常满意(平均评分[SD]=3.68[0.57]比 3.41[0.77],p=0.03)。患者特征(年龄、性别)、TBSA%或提供的工作量(BSC)均与高满意度无关。无论烧伤严重程度、人口统计学特征和工作量如何,烧伤成年患者对所接受的烧伤护理均非常满意。这一发现表明满意度的原因是多方面的。