Tentis Elise R, Nelson Kate E, Carlson Stephen M, Helo Sevann, Kohler Tobias S, Ziegelmann Matthew J
Department of Urology, Mayo Clinic, Rochester, MN, USA.
Int J Impot Res. 2025 May 31. doi: 10.1038/s41443-025-01099-2.
We sought to identify specific testing conditions that may negatively impact patient experience with Penile duplex Doppler ultrasound (PDDU). We developed a survey designed to assess perception with several predetermined clinical-environment factors. Patients completed the voluntary written-survey at the time of PDDU between January 2022 and June 2024. 37.4% of patients reported at least one of the following negatively impacted their experience: bright lights, hallway noises, room temperature, and frequent staff assessments. Preference regarding clinician gender and type (physician versus advanced practice provider) was also assessed. When assessed prior to starting the consultation, we found that 57.6% reported no provider preference, while 40.6% preferred consultation with physicians. 72.6% reported no provider gender preference, while 25.2% preferred males. In contrast, when assessed at the completion of the consultation, 84.4 and 85.7% reported no preference regarding provider type or gender, respectively. Based on interim analysis of survey response data, a call-button was implemented for patients to alert staff when adequate erection rigidity was achieved during testing. The mean time to response decreased significantly from 15.6 min ±4.2 to 11.2 min ±4.2 (p < 0.001). Further work is needed to validate and identify additional modifiable factors that can be improved upon to enhance patient experience.
我们试图确定可能对阴茎双功能多普勒超声检查（PDDU）患者体验产生负面影响的特定检查条件。我们设计了一项调查，旨在评估患者对几个预先确定的临床环境因素的感受。在2022年1月至2024年6月期间接受PDDU检查的患者完成了这份自愿书面调查。37.4%的患者报告以下至少一项因素对其体验产生了负面影响：强光、走廊噪音、室温以及工作人员频繁的评估。我们还评估了患者对临床医生性别和类型（医生与高级执业提供者）的偏好。在开始会诊前进行评估时，我们发现57.6%的患者表示没有提供者偏好，而40.6%的患者更喜欢由医生进行会诊。72.6%的患者表示没有提供者性别偏好，而25.2%的患者更喜欢男性。相比之下，在会诊结束时进行评估时，分别有84.4%和85.7%的患者表示对提供者类型或性别没有偏好。基于对调查回复数据的中期分析，我们为患者设置了一个呼叫按钮，以便在检查过程中达到足够的勃起硬度时提醒工作人员。平均响应时间从15.6分钟±4.2分钟显著缩短至11.2分钟±4.2分钟（p<0.001）。需要进一步开展工作来验证并确定其他可改进的因素，以提升患者体验。
