椅子放置对医生的行为和患者满意度的影响:随机欺骗试验
Ruchita Iyer1, Do Park2, Jenny Kim1
1University of Texas Southwestern Medical School, Dallas, TX, USA.
概括
将椅子放在病人的床边显著增加了医生在咨询期间的坐时间. 这种简单的干预措施也提高了患者满意度和沟通得分,证明了其在医疗保健环境中的价值.
科学领域:
- 医疗实践和患者护理
- 改善医疗保健质量 改善医疗保健质量
- 临床交流 临床沟通
背景情况:
- 医生在床边咨询期间的坐姿行为可能会影响患者的感知和满意度.
- 优化物理环境可能会影响医生与患者的互动.
- 有限的研究存在于简单的干预措施,以改善医生的存在和患者的体验.
研究的目的:
- 为了评估战略性椅子放置对医生在床边咨询期间的坐姿行为的影响.
- 评估椅子放置对患者满意度和沟通的影响.
- 为了确定椅子放置是否会影响医生与患者接触的持续时间.
主要方法:
- 一个单中心,双盲,随机对照试验,涉及51名医院医生和125名患者.
- 遇到的人被随机分配到靠近床边的椅子放置或通常的椅子位置 (控制).
- 医生坐姿行为,患者满意度 (TAISCH,HCAHPS) 和时间感知是主要和次要结果.
主要成果:
- 与对照组 (7.7%) 相比,医生在椅子放置组 (63.3%) 坐的可能性明显高,赔率比率为20.7 (P<0.001).
- 椅子放置与TAISCH分数增加3.9%和HCAHPS分数的改善有关.
- 没有观察到在房间里花费的时间或医生或患者对时间的感知有显著差异.
结论:
- 简单的椅子放置是一种有效的,低成本的干预措施,可以增加医生在床边咨询期间坐着.
- 这种干预措施提高了患者的满意度和沟通,有助于改善医疗保健质量.
- 这项研究强调了环境因素在塑造医生与患者互动中的重要性.
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