Satisfaction with inpatient acquired immunodeficiency syndrome care - A national comparison of dedicated and scattered-bed units
Satisfaction with inpatient acquired immunodeficiency syndrome care - A national comparison of dedicated and scattered-bed units
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DOI：
10.1097/00005650-199709000-00007
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发表时间：
1997-09-01
期刊：
影响因子：
3
通讯作者：
Lake, ET
中科院分区：
文献类型：
--
作者：
Aiken, LH;Sloane, DM;Lake, ET
目标.本研究旨在确定获得性免疫缺陷综合征（AIDS）患者对艾滋病专科住院护理的满意度与传统的多诊断医疗单位相比是否存在差异。访谈数据收集自11个艾滋病高发城市20家医院40个病人护理单位的600多名艾滋病连续入院者。将10家设有专门艾滋病科室的医院与在多诊断医疗单位治疗艾滋病患者的可比医院进行了配对。将艾滋病患者对艾滋病专用病房护理的满意度与同一医院的艾滋病患者对分散床位病房护理的满意度以及不同匹配医院的艾滋病患者对分散床位病房护理的满意度进行比较。医院间的差异，不受设计控制的统计学控制，因为是病人的特点和疾病严重程度的差异。获得性免疫缺陷综合征患者接受专门的艾滋病单位护理显着更满意他们的护理。在同时拥有这两种病房的医院中，艾滋病专用病房的白色患者、男性和同性恋者比例较高，而分散床位病房的少数民族患者和静脉注射吸毒者比例较高。控制这些因素以及疾病严重程度的差异和患者满意度的医院间差异并没有减少积极的艾滋病单位对患者满意度的影响。专门的艾滋病单位在艾滋病患者中的满意度高于一般医疗单位。没有证据表明，与普通病房的病人相比，艾滋病专用病房的病人感到孤立或受到侮辱，许多病人明显倾向于专用病房。
OBJECTIVES. This study sought to determine whether there were differences in acquired immunodeficiency syndrome (AIDS) patients' satisfaction with inpatient nursing care on dedicated AIDS units compared with conventional, multidiagnosis medical units.METHODS. Interview data were collected from more than 600 consecutive AIDS admissions in 40 patient care units in 20 hospitals in 11 high AIDS incidence cities. Ten hospitals with dedicated AIDS units were matched with comparable hospitals treating AIDS patients on multidiagnosis medical units. AIDS patients' satisfaction with nursing care on dedicated AIDS units was compared with AIDS patients' satisfaction with care on scattered-bed units in the same hospital and with AIDS patients' satisfaction on scattered-bed units in different, matched hospitals without dedicated units. Interhospital differences that were not controlled by design were controlled statistically, as were differences in patient characteristics and illness severityRESULTS. Acquired immunodeficiency syndrome patients receiving care on dedicated AIDS units were significantly more satisfied with their nursing care. In hospitals with units of both types, dedicated AIDS units had a higher proportion of white patients, men,and homosexuals, whereas scattered-bed units had more minority patients and intravenous drug users. Controlling for these factors as well as for differences in illness severity and interhospital differences in patient satisfaction did not diminish the positive AIDS unit effect on patient satisfaction.CONCLUSIONS. Dedicated AIDS units achieve higher levels of satisfaction among patients with AIDS than general medical units. There is no evidence that patients feel isolated or stigmatized on dedicated AIDS units compared with patients on general units, and many patients have a clear preference for dedicated units.