紧急部门的患者焦虑和沟通经验:一项关于在COVID-19大流行期间患者隔离的移动,基于Web的混合方法研究
Sumin Kim1, Hansol Chang1,2, Taerim Kim1,2
1Department of Digital Health, Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University, Seoul, Korea.
紧急部门的患者经历了低焦虑和令人满意的沟通,无论COVID-19隔离. 了解临床过程是减少焦虑和改善沟通的关键.
科学领域:
- 紧急医疗 紧急医疗
- 患者体验 患者体验
- 公共卫生 公共卫生
背景情况:
- 紧急部门 (ED) 的焦虑和沟通挑战可能会因隔离措施而恶化,例如COVID-19大流行期间的隔离措施.
- 关于患者焦虑和健康危机期间ED内沟通的研究有限.
研究的目的:
- 调查COVID-19大流行期间急诊室患者的焦虑程度和沟通经验,重点关注隔离的影响.
- 确定导致焦虑的因素,并评估患者对ED环境中的沟通满意度.
主要方法:
- 一项前性混合方法研究,于2021年5月至8月在第三级护理ED进行.
- 包括隔离和对照患者组,在两个时间点使用州道焦虑清单 (STAI X1) 测量焦虑.
- 通过基于移动网络的调查和出院后的采访收集数据,以探索焦虑的贡献者和沟通经验.
主要成果:
- 在隔离和非隔离ED患者之间没有发现焦虑水平的统计学上显著差异.
- 临床过程,而不是物理环境或沟通,是导致患者焦虑的主要原因.
- 总体而言,沟通满意度很高,隔离组的71.4%和对照组的66.7%报告满意度. 关键的沟通要素包括关于临床过程和患者状况的信息.
结论:
- 紧急病房患者通常表现出低焦虑和满意的沟通,无论在COVID-19大流行期间的隔离状态.
- 提供关于临床过程的明确信息对于进一步减少焦虑和提高患者在ED环境中的沟通满意度至关重要.
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