伊朗卫生系统转型计划实施前后患者对护理服务满意度的评估：一项横断面研究。
Evaluation of patient satisfaction with nursing services before and after implementation of the Health System Transformation Plan in Iran: A cross-sectional study.
作者信息
Jannati Yadollah, Babajani Abolfazl, Kolaei Maedeh Ghasemi, Mohsenipouya Hossein, Mousavinasab Nouraddin, Gorji Mohammad A H, Mamun Mohammed A
机构信息
Department of Nursing, Faculty of Nursing Mazandaran University of Medical Sciences Sari Iran.
Department of Biostatistics, Faculty of Health Mazandaran University of Medical Sciences Sari Iran.
出版信息
Health Sci Rep. 2022 Jun 21;5(4):e710. doi: 10.1002/hsr2.710. eCollection 2022 Jul.
BACKGROUND AND AIMS
How healthcare service delivery is achieved after implementing the Health System Transformation Plan (HSTP) is investigated in the present study by assessing the patients' satisfaction with nursing care services compared to before HSTP.
METHODS
This cross-sectional study was conducted in Iranian hospitals during two periods, that is, before ( = 300) and after ( = 279) HSTP, whereas the Patient Satisfaction Instrument was used to assess the satisfaction with nursing services.
RESULTS
About 57.7% and 4.7% of the patients were dissatisfied with nursing care services, whereas 34% and 77.4% for moderate satisfaction, and 8.3% and 17.9% for total satisfaction, before and after HSTP, respectively. The mean score of overall satisfaction was 57.33 (±11.17) and 70.84 (±11.99) before and after HSTP, respectively ( < 0.001), which represents there is an improvement in healthcare services delivery after HSTP. Although none of the sociodemographic factors were significantly associated with satisfaction, higher satisfaction was found among the coronary care unit (CCU) hospitalized patients.
CONCLUSION
The patients' overall satisfaction with nursing care services after HSTP was increased, although higher satisfaction was observed in the patients of special wards such as CCU. Therefore, using more care facilities and equipment and engaging more skilled nursing staff in other wards is highly recommended.
背景与目的
本研究通过评估患者对护理服务的满意度，并与卫生系统转型计划（HSTP）实施前进行比较，来调查实施该计划后医疗服务的提供情况。
方法
本横断面研究在伊朗医院分两个阶段进行，即HSTP实施前（n = 300）和实施后（n = 279），使用患者满意度量表评估对护理服务的满意度。
结果
HSTP实施前和实施后，分别有57.7%和4.7%的患者对护理服务不满意，中度满意的患者分别为34%和77.4%，完全满意的患者分别为8.3%和17.9%。HSTP实施前和实施后总体满意度的平均得分分别为57.33（±11.17）和70.84（±11.99）（P < 0.001），这表明HSTP实施后医疗服务的提供有所改善。尽管社会人口统计学因素均与满意度无显著关联，但冠心病监护病房（CCU）住院患者的满意度较高。
结论
HSTP实施后患者对护理服务的总体满意度有所提高，尽管在CCU等特殊病房的患者中观察到更高的满意度。因此，强烈建议在其他病房使用更多护理设施和设备，并配备更多技术熟练的护理人员。
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