患者对急性医院感染预防和控制干预措施的满意度:系统性审查和元分析
Mairead Skally1,2, Aoife Kearney2, Judith Strawbridge3
1Department of Microbiology, Beaumont Hospital, Dublin, Ireland skallymairead@rcsi.ie.
BMJ open
|December 15, 2025
概括
患者对感染预防和控制 (IPC) 干预措施的满意度差异很大,69%的孤立患者报告满意度. 提高患者和公众参与 (PPI) 在IPC对于改善满意度指标至关重要.
科学领域:
- 医疗保健的质量和安全
- 预防和控制感染的预防和控制.
- 患者体验 患者体验
背景情况:
- 医疗相关感染 (HAI) 需要强有力的感染预防和控制 (IPC) 干预措施.
- 患者的观点和参与开发IPC策略的参与仍然有限.
- 了解患者满意度是优化IPC计划的关键.
研究的目的:
- 系统地审查与IPC干预相关的患者满意度结果.
- 记录用于在IPC环境中评估患者满意度的方法.
- 对报告的患者满意度水平进行元分析.
主要方法:
- 按照乔安娜·布里格斯研究所 (JBI) 和PRISMA的指导方针进行系统审查和元分析.
- 搜索了多个数据库 (MEDLINE,Scopus,科学网等) 在2024年6月.
- 包括对住院患者对各种IPC措施的满意度的研究;元分析使用了可比数据和异质性测试.
主要成果:
- 包括29项研究;隔离预防措施是IPC最常见的干预措施 (38%).
- 利克特等级是最常见的满意度评估工具 (45%).
- 患者满意度在58.3%至97.2%之间;对隔离预防措施的整体满意度为69% (95%CI为63.6%至74.4%),具有显著的异质性.
结论:
- 显著的大多数患者 (69%) 表示对IPC期间的隔离预防措施感到满意.
- 患者满意度的广泛变化凸显了当前IPC测量方法的局限性.
- 增加患者和公众参与 (PPI) 设计和评估满意度指标对于IPC改进至关重要.
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