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Patient satisfaction in treatment for cervical pathology
M T J Hendriksen1, K W M VAN Delft, G L H Bremer
1Gynecology Department, Orbis Medical Center, Sittard-Geleen, The Netherlands.
Oncology Letters
|August 7, 2012
Summary
Patient satisfaction with cervical dysplasia treatment was high overall. Nurse practitioners improved patient knowledge and satisfaction, while a single-visit approach was efficient but less satisfactory for patients.
Area of Science:
- Gynecology
- Patient Care
Background:
- Cervical dysplasia management involves colposcopy for abnormal cervical cytology.
- Different patient communication and visit structures exist for colposcopy referrals.
Purpose of the Study:
- To analyze patient satisfaction levels in cervical dysplasia treatment.
- To compare satisfaction across three different patient management pathways.
- To assess the impact of nurse practitioners on patient satisfaction.
Main Methods:
- A cross-sectional study involving 593 patients undergoing their first colposcopy after an abnormal Pap smear.
- Patient satisfaction questionnaires were administered.
- Data analyzed using SPSS with chi-squared and Mann-Whitney U tests.
Main Results:
- Overall patient satisfaction was high (96%).
- Nurse practitioners received high ratings (8.0-8.4).
- Patients informed by nurse practitioners (Group 3) showed similar satisfaction to those with two visits (Group 1), but higher than those with a single, immediate visit (Group 2).
- Group 2 patients reported significantly lower satisfaction across most measures.
Conclusions:
- The single-visit procedure (Group 2) was efficient but led to lower patient satisfaction.
- Involving nurse practitioners improved patient knowledge, comfort, and satisfaction while potentially reducing visits.
- Optimizing patient communication and visit scheduling is crucial for enhancing satisfaction in cervical dysplasia management.
