患者麻醉医疗服务满意度评价及影响因素分析  

Assessment and analysis of influencing factors of patients' satisfaction with perioperative anesthetic care

作　　者：李敏娜[1] 虞雪融[1] 丁文蕴[2] 刘红波[3] 吴勇[4] 黄宇光[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院整形美容外科,北京100730 [3]常德市第一人民医院麻醉科,湖南常德415000 [4]攀枝花市中心医院麻醉科,四川攀枝花617000

出　　处：《基础医学与临床》2018年第2期284-288,共5页Basic and Clinical Medicine

摘　　要：目的引进和修订患者围术期麻醉医疗服务满意度问卷(PSPACq),并评价麻醉医疗服务满意度及其影响因素。方法将PSPACq转成简体中文版并文化调适,对380位择期术后患者问卷调查,检验信效度,评估患者对麻醉医疗服务的满意度并分析其影响因素。结果问卷内部一致性信度用Cronbach'sα评价为0.935,内容效度指数(CVI)为0.933。麻醉满意度总分为(4.28±0.45)分,评分最高的维度为麻醉相关不适感和需求(4.68±0.67)分,评分最低的为害怕(3.56±0.79)分。不同特点患者满意度不同,多元回归分析发现已婚、既往麻醉史和麻醉方式是影响患者麻醉满意度总分的主要影响因素(P<0.05)。结论简体中文版PSPACq可用于评价和分析患者对麻醉医疗服务的满意度;临床工作中可根据影响因素采取针对性措施提高患者满意度。Objective To introduce and revise the patient satisfaction with perioperative anesthetic care questionnaire（ PSPACq）. To assess the patient satisfaction with perioperative anesthetic care and to analyse the influencing factors. Methods Translation and culture adaptation were used for PSPACq,then the questionnaire was applied to three hundred and eighty patients after selective operation. The reliability and validity of the simplified Chinese version was evaluated. To evaluate the patient satisfaction with perioperative anesthetic care and to analyse the influencing factors. Results The Cronbach＇s α coefficient was employed to evaluate the internal reliability,which was 0. 935. The content validity index（ CVI） was 0. 933. The total score of patient satisfaction with perioperative anesthetic care was（ 4. 28±0. 45）. The factor ＂discomfort and needs＂had gotten the highest score（ 4. 68±0. 67）,and the factor ＂fear＂had gotten the lowest score（ 3. 56 ± 0. 79）. Patients with different characteristics had different satisfaction. Multiple regression analysis showed that marriage,previous anesthetics and anesthesia methods are themain influencing factors（ P〈0. 05）. Conclusions Simplified Chinese version PSPACq may be used to evaluate and analyse patient＇s satisfaction with perioperative anesthetic care. It is possible to improve patient＇s satisfaction by taking effective measures depending on the influencing factors.

关 键 词：麻醉 满意度 影响因素 

分 类 号：R614.2[医药卫生—麻醉学]