在台灣南部醫學中心疼痛門診接受神經阻斷術病人的滿意度因子分析

Satisfaction factor analysis for patients receiving nerve block in pain clinic at a medical center in southern Taiwan

Objective: This study was designed to lead to an understanding of the factors influencing patient satisfaction in pain clinic at a medical center in southern Taiwan.Methods: The data was collected from July 1 to December 1, 2013 via a 12-item questionnaire that included 6 treatment-related and 6 environment-related items. Patients in a pain clinic who needed to receive a nerve block were randomly selected and asked to fill out the questionnaire. A statistical analysis with a multiple ordinal regression was used to describe and examine the factors that influence patient satisfaction.Results: A total of 96 patients completed this study. Among the 12 items in the questionnaire, staff follow-up, nurse attitude, and staff patience were among the highest 3 percentiles in the very strongly agree category [64/96(66.7%), 63/96(65.6%), 62/96(64.6%), respectively], which are all treatment-related satisfaction indices. On the other hand, waiting time and traffic were among the lowest 2 percentiles in the very strongly agree category [31/96(32.3%) and 41/96(42.7%), respectively], which are both environment-related satisfaction. Overall treatment-related satisfaction was higher than environment-related satisfaction. Visit frequency was the only significant predictor of treatment-related satisfaction. Meanwhile, marital status and visit frequency were significantly associated with environment-related satisfaction. In the multiple ordinal regression analysis, less frequent visits and poorer self-assessed health status were associated with lower satisfaction in both treatment-related satisfaction and environment-related satisfaction.Conclusion: This study showed that patients were generally satisfied with the pain clinic in terms of both treatment and environment and that treatment-related satisfaction was higher than environment-related satisfaction. We found that patient satisfaction was associated with visit frequency and self-assessed health status and that environmental factors should also be considered to improve quality of health care. 目的：本研究是要找出在台灣南部醫學中心的疼痛門診中，接受神經阻斷術病人的滿意度的因子分析。方法：於2013年7月1日至12月1日，隨機發放並收集治療與環境相關各6題的滿意度問卷給在疼痛門診需接受神經阻斷病人填寫。以統計和多重次序迴歸分析檢視影響病人滿意度的因子。結果：此研究總計96位病人回答。在問卷的12個項目裡，病人對於醫護人員後續聯絡，護理師態度及醫護人員耐心等有較高的滿意度，對等候時間和交通方便性最不滿意。整體上，病人對治療相關的滿意度較高。在治療相關的滿意度中，就診頻率是唯一達到統計意義的影響因子；在環境的滿意度中，婚姻狀況和就診頻率等影響因子皆具統計意義。根據多重次序迴歸分析的結果，較不常回診和自覺健康狀況較差的病人有較低的滿意度。結論：病人整體上在疼痛門診對醫護人員和環境感到滿意，而回診頻率與自覺健康狀況會影響病人滿意度，環境因子亦應考慮來改善醫療品質。