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评估骨科创伤和择期手术入院患者的理解情况与满意度。

Assessing Patient Understanding and Satisfaction in Orthopedic Trauma and Elective Surgery Admissions.

作者信息

Zafar Shayan, Dekker Andrew P, Singh Sidhu Gur-Aziz, Stammer Adam T, Ashwood Neil

机构信息

Orthopedics and Traumatology, Barts and The London School of Medicine and Dentistry, London, GBR.

Trauma and Orthopedic Surgery, University Hospitals of Derby and Burton, Burton-on-Trent, GBR.

出版信息

Cureus. 2024 Aug 15;16(8):e66924. doi: 10.7759/cureus.66924. eCollection 2024 Aug.

Abstract

Background When seeking healthcare, patients often struggle to understand the information provided by healthcare professionals regarding their condition and treatment plan. Additionally, patient satisfaction with their experience can vary widely. Improved patient understanding and satisfaction are linked to better outcomes. This study aims to explore the factors influencing patient understanding to help healthcare professionals enhance these aspects. Objective This study evaluated the level of understanding and satisfaction among patients attending outpatient appointments. It also investigated factors influencing understanding by examining differences in results across various patient groups and analyzing these variations. Methods This study was conducted at Queens' Hospital Burton, a level III trauma unit, over a three-week period in September 2023. Patients attending their orthopedic outpatient appointments were given a questionnaire, which included both bipolar 1-5 scale questions and open-ended text response questions. Results Patients generally reported high levels of understanding and satisfaction, averaging 90.34% and 96.20%, respectively. Those seen in a nurse-led clinic demonstrated significantly greater understanding of their condition compared to those seen by a physician (p = 0.0377). Additionally, trauma patients had a significantly higher level of understanding (p = 0.0167) and satisfaction (p = 0.0115). Conclusions To achieve better patient outcomes, it is crucial to optimize both patient understanding and satisfaction. Nurse-led clinics demonstrate higher levels of understanding, so identifying and incorporating the factors that contribute to this success into physician-led clinics is essential. These factors may include differences in communication methods, the resources provided, or the consultation setting. Additionally, the educational methods used with trauma patients appear more effective than those used for elective cases and should be evaluated to determine if they can enhance understanding and outcomes in other settings. Implementing evidence-based strategies for effective patient communication, such as maintaining good eye contact, avoiding medical jargon, and establishing rapport, could improve understanding and satisfaction and ultimately lead to better patient outcomes.

摘要

背景

在寻求医疗服务时,患者常常难以理解医护人员提供的有关其病情和治疗方案的信息。此外,患者对就医体验的满意度差异很大。提高患者的理解度和满意度与更好的治疗结果相关。本研究旨在探索影响患者理解的因素,以帮助医护人员提升这些方面。

目的

本研究评估了门诊患者的理解水平和满意度。还通过检查不同患者群体的结果差异并分析这些差异来调查影响理解的因素。

方法

本研究于2023年9月在三级创伤中心伯顿女王医院进行,为期三周。参加骨科门诊的患者被给予一份问卷,其中包括1-5级双极量表问题和开放式文本回答问题。

结果

患者普遍报告理解度和满意度较高,平均分别为90.34%和96.20%。与由医生诊治的患者相比,在护士主导的诊所就诊的患者对自己病情的理解明显更好(p = 0.0377)。此外,创伤患者的理解水平(p = 0.0167)和满意度(p = 0.0115)显著更高。

结论

为了实现更好的患者治疗效果,优化患者的理解度和满意度至关重要。护士主导的诊所表现出更高的理解水平,因此识别并将促成这种成功的因素纳入医生主导的诊所至关重要。这些因素可能包括沟通方式、提供的资源或会诊环境的差异。此外,用于创伤患者的教育方法似乎比用于择期病例的方法更有效,应进行评估以确定它们是否能在其他环境中提高理解度和治疗效果。实施基于证据的有效患者沟通策略,如保持良好的眼神接触、避免使用医学术语和建立融洽关系,可以提高理解度和满意度,并最终带来更好的患者治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b342/11536326/2be14608ea27/cureus-0016-00000066924-i01.jpg

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