Hidalgo-Cabanillas Miriam, Laredo-Aguilera José Alberto, Cobo-Cuenca Ana Isabel, Molina-Madueño Rosa María, Santacruz-Salas Esmeralda, Rodriguez-Muñoz Pedro Manuel, Carmona-Torres Juan Manuel
Hospital Universitario de Toledo, Toledo, 45004, Spain.
Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 4507, Spain.
BMC Nurs. 2024 Dec 28;23(1):953. doi: 10.1186/s12912-024-02644-y.
The satisfaction of patients with sedation by nursing staff is an issue of interest for the quality of health care, influencing the recovery and well-being of patients as well as their confidence in and adherence to treatment. One of the most frequently performed diagnostic and therapeutic tests requiring sedation are digestive endoscopies, so it would be interesting to study satisfaction in these services.
To determine the level of patient satisfaction and safety with sedation via digestive endoscopies by nurses.
This was a cross-sectional study in the Digestive Endoscopy Service at the University Hospital of Toledo, Spain. The sample consisted of 660 adult patients from the digestive endoscopy service who were sedated between June-September 2023. The degree of satisfaction with the service was measured by the questionnaire: Survey of patient satisfaction with the digestive endoscopy service. The study was approved by the ethics committee.
Patients who reported satisfaction with the treatment were very satisfied with the sedation provided by the nurses. The most valued item was the attention of the nursing professionals. The least valued items were the waiting time for the appointment and the time spent in the waiting room on the same day. The incidence of complications recorded during the test were minimal (2% of all patients).
Most patients are satisfied with the sedation administered by nurses via digestive endoscopies, and complications were rare, supporting the efficacy and acceptance of this practice. Clinical practice guidelines and consensus documents in Spain guarantee that nurses have autonomy to administer sedation in digestive endoscopy services, but there is a lack of national regulations to support this technique. The current consensus in Spain is that specific training is necessary for such nurses.
患者对护理人员镇静服务的满意度是医疗保健质量方面一个受关注的问题，会影响患者的康复、福祉以及他们对治疗的信心和依从性。需要镇静的最常见诊断和治疗测试之一是消化内镜检查，因此研究这些服务中的满意度会很有意义。
确定护士通过消化内镜检查进行镇静时患者的满意度水平和安全性。
这是一项在西班牙托莱多大学医院消化内镜科进行的横断面研究。样本包括2023年6月至9月期间在消化内镜科接受镇静的660名成年患者。使用问卷《消化内镜服务患者满意度调查》来衡量对该服务的满意度。该研究获得了伦理委员会的批准。
报告对治疗满意的患者对护士提供的镇静非常满意。最受重视的项目是护理专业人员的关注。最不受重视的项目是预约等待时间和当天在候诊室花费的时间。检查期间记录的并发症发生率极低（占所有患者的2%）。
大多数患者对护士通过消化内镜检查给予的镇静感到满意，并发症很少见，这支持了这种做法的有效性和可接受性。西班牙的临床实践指南和共识文件保证护士在消化内镜服务中有自主给予镇静的权力，但缺乏国家法规来支持这项技术。西班牙目前的共识是，此类护士需要接受专门培训。
