Drapeaux Alisa, Jenson John A, Fustino Nicholas
Health Sciences, Drake University, Des Moines, IA, USA.
Drake University, Des Moines, IA, USA.
J Patient Exp. 2021 Dec 8;8:23743735211065298. doi: 10.1177/23743735211065298. eCollection 2021.
Patient-centered communication and patient-provider relationships directly affect patient outcomes. The purpose of this study was to compare inpatient perception of provider/nurse communication in both COVID versus non-COVID diagnoses groups. A qualitative retrospective study was conducted by performing a priori analysis on Hospital Consumer Assessment of Healthcare Providers and Systems surveys from 4 different hospitals for both COVID and non-COVID diagnoses. Five themes emerged from non-COVID patient data: inconsistent health care provider communication, variable patient-provider education, pandemic influenced patient satisfaction and mental health stress, inconsistent hospital services, and stable provider professionalism. Five themes arose from the COVID patient data: provider gratitude, controversial communication methods, consistent patient education, lack of quality patient care, and poor timeliness. There is evidence of shared patient perceptions between both COVID and non-COVID patients, but also differences including timeliness and quality of care. The pandemic influenced all patients by creating non-mutually exclusive themes including overall gratitude and patient satisfaction. Future research should focus on a quantitative analysis of pandemic-related patient-provider communication effects on patient outcomes.
以患者为中心的沟通以及患者与医护人员的关系直接影响患者的治疗结果。本研究的目的是比较新冠肺炎确诊组和非新冠肺炎确诊组患者对医护人员沟通的看法。通过对来自4家不同医院的新冠肺炎和非新冠肺炎确诊患者的医疗服务提供者和系统的医院消费者评估调查进行先验分析，开展了一项定性回顾性研究。非新冠肺炎患者数据中出现了五个主题：医护人员沟通不一致、医患教育方式多样、疫情影响患者满意度和心理健康压力、医院服务不一致以及医护人员专业素养稳定。新冠肺炎患者数据中出现了五个主题：医护人员的感激之情、有争议的沟通方式、持续的患者教育、缺乏优质的患者护理以及及时性差。有证据表明，新冠肺炎患者和非新冠肺炎患者的看法存在共性，但也存在差异，包括护理的及时性和质量。疫情通过创造包括总体感激和患者满意度在内的并非相互排斥的主题影响了所有患者。未来的研究应侧重于对疫情相关的医患沟通对患者治疗结果的影响进行定量分析。
