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医疗服务提供者对过渡性疼痛服务实施情况的满意度评估

Evaluation of Health Care Providers Satisfaction with the Implementation of a Transitional Pain Service.

作者信息

Admiraal Manouk, Hermanides Jeroen, Hollmann Markus W, Hermanns Henning

机构信息

Department of Anesthesiology, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

出版信息

J Clin Med. 2023 Jan 9;12(2):537. doi: 10.3390/jcm12020537.

Abstract

Chronic postsurgical pain develops in 10% of patients undergoing surgery. Recently, multidisciplinary, patient-tailored interventions, such as a Transitional Pain Service (TPS) have been developed and implemented to improve perioperative pain management and thereby prevent chronic postsurgical pain. The purpose of this survey was to analyse health care providers satisfaction and learn from their experiences on the implementation of a TPS. In the TRUST study, a randomized controlled trial investigating the effectiveness of a TPS, 176 patients were enrolled. Afterwards, a satisfaction survey was internally developed, which consisted of eight items. Satisfaction was measured using a Likert scale with five response options from never (1 point) to always (5 points). Surveys were sent to all anaesthetists and anaesthesia residents in our department that were faced with the consequences of TPS implementation. In May 2022, 36 caregivers of the Department of Anaesthesiology returned the survey after four rounds of distribution, with a response rate of 82.3%. Thirty staff members (81.0%) strongly felt that patient care had improved with the introduction of a TPS and 33 (86.8%) would like to see the TPS to be continued in the future. Health care provider satisfaction improved after implementation of a TPS in our hospital.

摘要

10%接受手术的患者会出现慢性术后疼痛。最近,已经开发并实施了多学科、针对患者的干预措施,如过渡性疼痛服务(TPS),以改善围手术期疼痛管理,从而预防慢性术后疼痛。本次调查的目的是分析医疗保健提供者的满意度,并从他们实施TPS的经验中学习。在TRUST研究(一项调查TPS有效性的随机对照试验)中,招募了176名患者。之后,内部开发了一项满意度调查,其中包括八个项目。满意度采用李克特量表进行测量,有五个回答选项,从从不(1分)到总是(5分)。调查问卷发送给了我们科室所有面临TPS实施后果的麻醉医生和麻醉住院医师。2022年5月,麻醉科的36名护理人员在四轮分发后返回了调查问卷,回复率为82.3%。30名工作人员(81.0%)强烈认为引入TPS后患者护理得到了改善,33名(86.8%)希望未来继续推行TPS。在我们医院实施TPS后,医疗保健提供者的满意度有所提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b0/9864635/1197f9cd1fb2/jcm-12-00537-g001a.jpg

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