de Oliveira Luiz Felippe Mokdeci Martins, Ramallo Daniel Alves, Möller João Victor Silveira, Leal Ana Carolina, Ribeiro Gabriel Araujo, Guimarães João Antonio Matheus
Centro de Atenção Especializada em Cirurgia da Coluna Vertebral, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil.
Centro de Atenção Especializada em Trauma Ortopédico, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Aug;56(4):438-445. doi: 10.1055/s-0040-1718513. Epub 2020 Dec 16.
To assess the knowledge of patients seen at a teaching hospital about the academic and professional training of the resident doctor in orthopedics and traumatology, as well as his area of expertise, and determine the perception of the patients of comfort and safety in relation to being assisted by the resident doctor at different stages of treatment. A cross-sectional study was conducted with patients admitted to a large orthopedics hospital of the Brazilian Unified Health System (SUS, in the Portuguese acronym). Data were collected through the application of a questionnaire containing 19 objective questions that assessed sociodemographic parameters and the perception of the patient of the performance of the resident. The data were analyzed to assess the frequency of responses obtained. 152 participants were evaluated, predominantly male (62.6%) and aged between 36 and 55 years old (41.3%). Only 43.3% were aware of the academic background of the resident. Patients reported feeling safer and more comfortable being assisted by the doctor together with the resident in the outpatient consultation (43.3%), in the nursing ward (39.3%) and during surgery (61%). As for the performance of the resident, 80.2% stated that the resident doctor improves communication between the patient and the main surgeon; however, only 11% said they would feel safe and comfortable being cared for exclusively by residents in the surgical environment, if allowed. The participation of resident physicians in the care is well received by the patients if they are in the company of the attending physician. Patients identify residents as a facilitating bridge in the communication with attending physicians.
评估在一家教学医院就诊的患者对骨科与创伤科住院医生的学术及专业培训情况、其专业领域的了解程度，并确定患者在治疗不同阶段由住院医生提供协助时对舒适度和安全性的感知。 在巴西统一卫生系统（SUS，葡萄牙语首字母缩写）的一家大型骨科医院对入院患者进行了一项横断面研究。通过发放包含19个客观问题的问卷收集数据，这些问题评估了社会人口统计学参数以及患者对住院医生表现的感知。对数据进行分析以评估所获回答的频率。 共评估了152名参与者，其中男性占主导（62.6%），年龄在36至55岁之间（41.3%）。只有43.3%的人了解住院医生的学术背景。患者表示，在门诊咨询（43.3%）、护理病房（39.3%）和手术期间（61%）由医生和住院医生一起提供协助时，会感到更安全、更舒适。至于住院医生的表现，80.2%的人表示住院医生改善了患者与主刀医生之间的沟通；然而，只有11%的人表示如果允许，在手术环境中仅由住院医生护理时他们会感到安全和舒适。 如果住院医生有主治医生陪同，患者对其参与护理的接受度很高。患者将住院医生视为与主治医生沟通的便利桥梁。
