Is patient satisfaction a legitimate outcome of pain management?
Is patient satisfaction a legitimate outcome of pain management?
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DOI：
10.1016/s0885-3924(02)00677-2
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发表时间：
2003-03-01
影响因子：
4.7
通讯作者：
Lindley, C
中科院分区：
文献类型：
--
作者：
Carlson, J;Youngblood, R;Lindley, C
虽然许多研究已经使用美国疼痛学会（APS）满意度调查或其变体测量了患者对疼痛管理的满意度，但对调查项目之间的关系或项目是否与满意度有关知之甚少。在努力完善患者满意度的测量，修改后的版本的APS调查，这是给787例患者作为一项研究的一部分，术后疼痛管理在6个社区医院，进行了主成分分析，以确定调查的实证结构。发现五个组成部分之间的相关性较低;疼痛强度和满意度之间的关系较弱（r = -0.24）。通过结构方程分析估计的启发式模型产生了额外的见解。虽然许多项目被认为是影响病人的满意度并不密切相关的病人报告的满意度，他们表示重要的临床因素相关的护理质量，因此，持续的质量改进（CQI）的努力。结果表明，满意度的影响药物的有效性，独立的疼痛强度，并通过沟通。在测量满意度的时间附近的疼痛严重程度评分比早期评分更有影响力。
Though many studies have measured patient satisfaction with pain management using the American Pain Society (APS) Satisfaction Survey or its variants, little is known about the relationship among the survey items, or whether items relate to satisfaction at all. In an effort to refine the measurement of patient satisfaction, a modified version of the APS survey, which was given to 787 patients as part of a study of postoperative pain management in six community hospitals, was subjected to principal components analysis to determine the survey's empirical structure. Correlations among the five components found were low; a weak relationship (r = -0.24) was discovered between pain intensity and satisfaction. A heuristic model estimated by structural equations analysis yielded additional insights. Though many items thought to influence patient satisfaction were not closely related to patient-reported satisfaction, they indicate important clinical factors relevant to quality of care, and thus, to continuing quality improvement (CQI) efforts. Results suggest that satisfaction was influenced by effectiveness of medication, independent of pain intensity, and by communication. Pain severity ratings near the time satisfaction was measured were more influential than earlier ratings.