对慢性鼻炎的鼻手术后的期望和满意度的调查
Jose L Mattos1, Haleigh Hopper1, Zachary Soler2
1Department of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
The Laryngoscope
|October 1, 2024
概括
在内镜外科手术 (ESS) 后的患者满意度主要取决于满足手术前的期望. 调整患者的期望是外科医生最大限度地提高手术成功和改善慢性鼻炎的结果的关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术结果研究研究.
- 患者报告的结果
背景情况:
- 慢性鼻炎 (CRS) 显著影响生活质量.
- 透镜鼻手术 (ESS) 是对耐火性CRS的常见治疗方法.
- 患者的满意度和期望至关重要,但在ESS中研究不足.
研究的目的:
- 进行第一个混合方法分析ESS后的患者期望和满意度.
- 确定ESS后患者满意度的关键预测因素.
- 探索临床结果,术前期望和术后满意度之间的关系.
主要方法:
- 混合方法方法结合了半结构面试和定量分析.
- 52名参与者用于混合方法分析,110人用于调解分析.
- 使用定性和定量措施评估术前期望和术后6个月的满意度,包括SNOT-22分数.
主要成果:
- 25%的参与者在SNOT-22分数中没有达到最低临床重要差异 (MCID).
- 79%的那些没有实现MCID的人仍然会选择再次进行手术.
- 满足手术前期望是最强的满意度预测指标 (OR=3.8,p<0.001);临床结果对满意度的影响是由期望介导的.
结论:
- 患者的期望是CRS管理和ESS结果的关键,但经常被忽视的因素.
- 实现术前期望直接驱动ESS后的患者满意度.
- 外科医生应该优先调整患者的期望,以优化手术成功和患者满意度.
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