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影响埃塞俄比亚南部阿尔巴明奇综合医院成年住院患者对住院服务满意度的因素:一项混合方法研究

Factors Affecting Satisfaction With Inpatient Services Among Adult Patients Admitted to Arba Minch General Hospital, Southern Ethiopia: A Mixed Method Study.

作者信息

Sabo Kebede Gemeda, Mare Kusse Urmale, Berhe Hailemariam, Berhe Haftu

机构信息

Department of Nursing, College of Health Sciences, Samara University, Afar, Ethiopia.

School of Nursing, College of Health Sciences, Mekelle University, Tigray, Ethiopia.

出版信息

Health Serv Insights. 2023 Apr 10;16:11786329231166513. doi: 10.1177/11786329231166513. eCollection 2023.

Abstract

Previous studies on patient satisfaction in Ethiopia focused on satisfaction with nursing care and outpatient services. Therefore, this study aimed to assess factors affecting satisfaction with inpatient services among adult patients admitted to Arba Minch General Hospital, Southern Ethiopia. A mixed method cross-sectional study was conducted among randomly selected 462 admitted adult patients from March 7 to April 28, 2020. A standardized structured questionnaire and semi-structured interview guide were used to collect data. A total of 8 in-depth interviews were conducted to collect the qualitative data. SPSS version 20 was used to analyze the data, and a -value <.05 in the multivariable logistic regression was used to declare the statistical significance of the predictor variables. The qualitative data was analyzed thematically. In this study, 43.7% of patients were satisfied with the inpatient services they received. Urban residences (AOR 95% CI 1.67 [1.00, 2.80]), educational status (AOR 95% CI 3.41 [1.21, 9.64]), treatment outcome (AOR 95% CI 2.28 [1.65, 4.32]), use of meal service (AOR 95% CI 0.51 [0.30, 0.85]), and duration of hospital stay (AOR 95% CI 1.98 [1.18, 2.06]) were the predictors of satisfaction with inpatient services. Compared to previous studies, the level of satisfaction with inpatient services was relatively low.

摘要

埃塞俄比亚以往关于患者满意度的研究主要集中在对护理服务和门诊服务的满意度上。因此,本研究旨在评估影响埃塞俄比亚南部阿尔巴米琴综合医院成年住院患者对住院服务满意度的因素。2020年3月7日至4月28日,对随机抽取的462名成年住院患者进行了一项混合方法横断面研究。使用标准化的结构化问卷和半结构化访谈指南收集数据。共进行了8次深入访谈以收集定性数据。使用SPSS 20版分析数据,多变量逻辑回归中P值<.05用于判定预测变量的统计学意义。对定性数据进行了主题分析。在本研究中,43.7%的患者对他们所接受的住院服务感到满意。城市居民(调整后比值比95%置信区间1.67 [1.00, 2.80])、教育程度(调整后比值比95%置信区间3.41 [1.21, 9.64])、治疗结果(调整后比值比95%置信区间2.28 [1.65, 4.32])、餐饮服务使用情况(调整后比值比95%置信区间0.51 [0.30, 0.85])和住院时间(调整后比值比95%置信区间1.98 [1.18, 2.06])是住院服务满意度的预测因素。与以往研究相比,住院服务的满意度水平相对较低。

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