The Spinal Rehabilitation Department, Loewenstein Rehabilitation Medical Center, Raanana, Israel.
Tel-Aviv University, Tel-Aviv, Israel.
Spinal Cord. 2022 Nov;60(11):1023-1029. doi: 10.1038/s41393-022-00819-5. Epub 2022 Jun 8.
Cohort comparative study.
Evaluate the suitability of satisfaction scores for the assessment of quality of care and service in spinal rehabilitation.
Spinal rehabilitation department.
Fifty-two inpatients participated anonymously in a large satisfaction survey, in 2017. A questionnaire containing the same questions was completed by 96 other inpatients, whose personal details were known, admitted to the same department between 2017 and 2019. Differences in satisfaction scores were compared between the two groups, between years, and between identified patients with differences in perceived progress and satisfaction with progress, using Mann-Whitney tests. In the identified patients, the association between satisfaction and patient demographic, neurological, and functional characteristics was evaluated using Pearson correlations. Analysis of variance and t test assessed the effect of comorbidities on satisfaction. T test assessed gender differences between groups. The effect of associated factors on satisfaction was examined using a stepwise linear regression.
The total satisfaction score was 86.05 ± 16.99 for the anonymous group and 88.75 ± 12.45 for the identified patients (p > 0.05). The only patient characteristics that were associated with satisfaction were years of education, the perception of progress during rehabilitation, and the satisfaction with progress (p < 0.02). Their contribution to the total satisfaction variance, however, was relatively small (R = 0.211).
The small effect of patient characteristics on total satisfaction indicates that satisfaction scores can be used to assess the quality of care and service in spinal rehabilitation. This and the similarity in findings between the groups supports the validity of the questionnaires.
队列比较研究。
评估满意度评分在评估脊柱康复护理质量和服务中的适宜性。
脊柱康复科。
2017 年，52 名住院患者匿名参与了一项大型满意度调查。2017 年至 2019 年间，同一部门收治的 96 名其他住院患者在已知个人资料的情况下填写了一份包含相同问题的问卷。使用 Mann-Whitney 检验比较两组之间、年度之间以及在感知进展和对进展满意度存在差异的患者之间的满意度评分差异。在确定的患者中，使用 Pearson 相关分析评估满意度与患者人口统计学、神经学和功能特征之间的关系。方差分析和 t 检验评估合并症对满意度的影响。t 检验评估了组间的性别差异。使用逐步线性回归分析评估相关因素对满意度的影响。
匿名组的总满意度评分为 86.05±16.99，而确定的患者的总满意度评分为 88.75±12.45（p＞0.05）。与满意度相关的唯一患者特征是受教育年限、康复期间的感知进展和对进展的满意度（p＜0.02）。然而，它们对总满意度方差的贡献相对较小（R=0.211）。
患者特征对总满意度的影响较小，表明满意度评分可用于评估脊柱康复的护理质量和服务。两组之间的发现相似，支持问卷的有效性。
