粤北地区脑卒中高危人群筛查和干预项目患者满意度的影响因素分析
Analysis of Influencing Factors of Patients'Satisfaction with Screening and Intervention Programs for High-risk Population of Stroke in Northern Guangdong
李婷 1谢金娣 1程春云 1唐佳英 1胡佩1
作者信息
- 1. 汕头大学医学院附属粤北人民医院,广东 韶关 512000
- 折叠
摘要
目的:分析粤北地区脑卒中高危人群筛查和干预项目患者满意度的影响因素,为粤北地区脑卒中高危人群筛查和干预工作提供理论指导.方法:通过问卷方式对粤北地区接受脑卒中高危人群筛查和干预的 305 例患者进行满意度调查,时间范围为 2022 年 1 月至 2023 年 12 月,主要内容包括患者基本情况、满意度评价内容.分析患者满意度分布情况,后采用多因素logistic回归模型分析患者满意度的影响因素.结果:305 例患者中,满意组 47 例(18.22%),不满意组 258 例(81.78%).两组患者在危害认知、医护人员态度、就医流程、住院健康教育方式、住院健康教育内容、就医环境、出院教育方式、出院教育内容、就医费用、随访方式、随访次数、复查的满意度方面比较,差异均具有统计学意义(P＜0.05).多因素logistic回归分析结果显示,对危害认知低(OR=4.677,P=0.004)、对就医费用不满意(OR=3.673,P=0.009)是患者满意度的独立危险因素.结论:应充分关注患者对当前脑卒中高危人群筛查和干预项目满意度的影响因素,以危害认知、就医费用为发展导向,健全脑卒中高危人群筛查和干预项目服务体系,满足患者的诊疗服务.
Abstract
Objective To analyze the influencing factors of patients'satisfaction with screening and intervention programs for high-risk population of stroke in northern Guangdong,and provide theoretical guidance for screening and intervention for high-risk population of stroke in northern Guangdong.Methods A questionnaire survey was conducted among 305 patients who received screening and intervention for high-risk population of stroke in northern Guangdong.The time range was from January 2022 to December 2023.The main contents included the basic situation of patients and satisfaction evaluation.The distribution of patients'satisfaction was analyzed,and then the influencing factors of patients'satisfaction were analyzed by multivariate logistic regression model.Results Among the 305 patients,47 cases(18.22%)were satisfied and 258 cases(81.78%)were dissatisfied.There were statistically significant differences between the two groups in hazard cognition,attitude of medical staff,medical treatment process,hospitalization health education methods,hospitalization health education contents,medical treatment environment,discharge education methods,discharge education contents,medical treatment expenses,follow-up methods,follow-up times and reexamination satisfaction(P＜0.05).Multivariate logistic regression analysis showed that low awareness of harm(OR=4.677,P=0.004)and dissatisfaction with medical expenses(OR=3.673,P=0.009)were independent risk factors for patient satisfaction.Conclusion Full attention should be paid to the influencing factors of patients'satisfaction with the current screening and intervention programs for high-risk groups of stroke,take the risk cognition and medical expenses as the development orientation,improve the service system of screening and intervention programs for high-risk groups of stroke,and meet the patient's diagnosis and treatment service.
关键词
脑卒中/高危人群筛查和干预项目/患者满意度/粤北地区Key words
Stroke/Screening and intervention projects for high-risk groups/Patient satisfaction/Northern Guangdong引用本文复制引用
出版年
2024
NETL
NSTL
万方数据