Jamison R N, Ross M J, Hoopman P, Griffin F, Levy J, Daly M, Schaffer J L
Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Clin J Pain. 1997 Sep;13(3):229-36. doi: 10.1097/00002508-199709000-00008.
Increasing attention has been given to the assessment of patient satisfaction as a way to monitor quality of care in hospital settings. Postoperative patient satisfaction has been thought to be related to level of pain intensity, expectations of outcome, perceived concern by the staff, and helpfulness of treatments. The aim of this study is to develop a simple, reliable measure to assess pain and satisfaction in postsurgical patients and to examine factors related to patient satisfaction.
A satisfaction questionnaire was developed for this study and administered to 119 patients who had undergone a major orthopedic surgical procedure. The majority of the patients were diagnosed with osteoarthritis and reported moderate to severe preoperative pain. The 13-item measure was found to be reliable (test-retest r = .86; interexaminer r = .98), valid (exploratory factor analyses; intercorrelations), and easy to administer.
Results showed that the majority of the patients were satisfied with their care (91%), postoperative pain intensity (94%), and the way they were treated by the physicians and nurses (98%). Patients with low postoperative pain ratings who perceived that the physicians and nurses showed concern with how much pain they were feeling reported greatest satisfaction with their care (p < .001). In general, lower postoperative pain ratings were the best predictors of satisfaction and helpfulness of treatment. Preoperative pain status, expected level of postoperative pain, and time waiting for pain medication after a request was made were not significantly correlated with ratings of postoperative pain or satisfaction.
These results highlight the important influence of adequate treatment of postoperative pain and perceived concern by the hospital staff on patient satisfaction.
作为监测医院护理质量的一种方式，患者满意度评估受到了越来越多的关注。术后患者满意度被认为与疼痛强度水平、对结果的期望、医护人员的关怀程度以及治疗的有效性有关。本研究的目的是开发一种简单、可靠的方法来评估外科手术后患者的疼痛和满意度，并探究与患者满意度相关的因素。
为本研究编制了一份满意度调查问卷，并对119例接受大型骨科手术的患者进行了调查。大多数患者被诊断为骨关节炎，术前报告有中度至重度疼痛。结果发现，这份包含13个条目的问卷具有可靠性（重测信度r = 0.86；检查者间信度r = 0.98）、有效性（探索性因素分析；相互关联），且易于实施。
结果显示，大多数患者对他们得到的护理（91%）、术后疼痛强度（94%）以及医护人员的治疗方式（98%）感到满意。术后疼痛评分较低且认为医护人员关心其疼痛程度的患者对护理的满意度最高（p < 0.001）。总体而言，较低的术后疼痛评分是护理满意度和治疗有效性的最佳预测指标。术前疼痛状况、术后预期疼痛水平以及提出止痛药物需求后的等待时间与术后疼痛评分或满意度无显著相关性。
这些结果凸显了术后疼痛的充分治疗以及医院工作人员的关怀对患者满意度的重要影响。
