Shift in Emergency Department Provider Attitudes Toward Patients With Sickle Cell Disease
Shift in Emergency Department Provider Attitudes Toward Patients With Sickle Cell Disease
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DOI：
10.1097/tme.0000000000000106
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发表时间：
2016-07-01
影响因子：
0.5
通讯作者：
Tanabe, Paula
中科院分区：
文献类型：
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作者：
Freiermuth, Caroline E.;Silva, Susan;Tanabe, Paula
镰状细胞病患者经常到急诊科寻求治疗。他们报告说，急救人员对他们持消极态度。本研究的目的是评估在2.5年的时间里急诊人员对镰状细胞病患者态度的变化，在此期间进行了几项教育工作。对镰状细胞病患者的一般认知量表用于在项目开始后的基线、6个月和30个月测量2个急诊科的急救人员的态度。在控制了多年的提供者经验后，使用协方差分析来检验地点、时间和提供者类型及其相互作用对消极态度、不安与关怀和积极态度子量表得分的影响。三个时间点的回访次数分别为216次、182次及113次。随着时间的推移，平均消极态度量表得分显著下降，护士报告的平均消极态度量表得分明显高于医生报告的平均消极态度量表得分。护理不安亚量表的平均得分随时间没有显著差异，但医生的平均得分明显高于护士。随着时间的推移，平均积极态度量表得分显著提高，医生倾向于比护士有更高的平均积极态度量表得分。在观察期间，态度有所改善，消极态度量表平均得分下降，积极态度量表平均得分上升。医生的态度比护士好。
Patients with sickle cell disease frequently seek care in the emergency department. They have reported experiencing negative attitudes from emergency providers. This study was undertaken to evaluate change in emergency provider attitudes toward patients with sickle cell disease over a 2.5-year time period when several educational efforts were ongoing. The General Perceptions about Sickle Cell Disease Patients Scale was used to measure emergency provider attitudes at 2 emergency departments at baseline, 6 months, and 30 months into the project. Analyses of covariance were used to test for effects of site, time, and provider type, as well as their interactions, on Negative attitudes, Uneasiness With Care, and Positive Attitudes subscale scores, after controlling for years of provider experience. The number of surveys returned at the 3 time points was 216, 182, and 113, respectively. The mean Negative Attitudes subscale scores decreased significantly over time, with significantly higher mean Negative Attitudes subscale scores reported by nurses than by physicians. The mean Uneasiness With Care subscale scores did not differ significantly over time, but the mean score was significantly higher for physicians than for nurses. The mean Positive Attitudes subscale scores significantly improved over time, with physicians tending to have a higher mean Positive Attitudes subscale scores than nurses. During the observation period, there was improvement in attitudes, with a decline in mean Negative Attitudes subscale scores and increase in mean Positive Attitudes subscale scores. Physicians reported better attitudes than nurses.