伟大的期望:一个多站点,随机控制的开放标签试验的新型患者期望沟通工具
Jennifer Chapman1, Michael Wakely1, Kelsey Leonard1
1Department of Emergency Medicine HCA Florida-Orange Park Hospital Orange Park Florida USA.
概括
一个新的问卷提高了急诊医学患者对他们的期望的理解. 虽然没有影响整体满意度,但该工具在紧急情况下增强了患者与临床医生的沟通.
科学领域:
- 紧急医疗 紧急医疗
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在紧急医疗 (EM) 中辨别患者的期望对于以患者为中心的护理是具有挑战性的.
- 一个新的问卷被开发出来,以帮助临床医生了解患者在访问期间的期望.
研究的目的:
- 评估一项新型问卷在改善临床医生对紧急医疗患者期望的理解方面的有效性.
主要方法:
- 进行了一项多站点随机对照试验.
- 干预组的患者填写了一个关于期望的问卷;对照组接受了标准的护理.
- 调查评估了满意度领域,主要分析使用后勤回归.
主要成果:
- 干预组的概率是报告他们强烈同意他们的临床医生理解他们的期望的2.1倍 (p=0.01).
- 这表明需要治疗的净数量为11个,以获得一个额外的改善满意度评分.
- 二次结果没有显示显著差异,但趋势有利于干预组.
结论:
- 这种新型工具增加了患者报告的对应期望的理解.
- 在传统的满意度指标中没有发现显著差异.
- 需要进一步的研究来探索这种工具是否可以改善其他患者的治疗结果.
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