導入醫病共享決策對於接受內視鏡下肢靜脈曲張手術後滿意度與忠誠度之影響

The Effectiveness of Shared Decision Making on Patients' Satisfaction with Surgery and Loyalty with Hospital in the Choice of a Surgical Method for Lower Extremity Varicose Veins

內視鏡下肢靜脈曲張手術是本院新近發展的手術，病人選擇傳統手術、雷射治療或內視鏡下肢靜脈曲張手術，手術費用和復發率是兩個重要的考量的重要因素，本研究旨在探討醫病共享決策對下肢靜脈曲張病人手術方式選擇滿意度和醫院忠誠度。研究數據共86位患者。問卷內容包括年齡、性別、教育程度、職業及自擬的滿意度，採用李克特氏量表共計16題。89.5%第一次接受內視鏡下肢靜脈曲張手術。結果顯示滿意度分析以手術醫師與病人及家屬溝通達4.2分，藉由醫病共享決策可達到雙向醫病溝通成效，病人對醫院信任度高。90%的患者認為輔助工具有助於決策。本研究以輔助工具作為醫護人員與病人之間溝通的橋樑，讓病人瞭解不同治療方式所帶來的優缺點，進而提升護理品質滿意度和忠誠度。

lower extremity varicose veins (LEVV) surgery is a newly developed innovative surgery in our hospital. The choice of cost and recurrence are important factors that patients take into account.The study aimed to explore the effectiveness of shared decision making (SDM) on patients' satisfaction with surgery and loyalty with hospital in the choice of a surgical method for lower extremity varicose veins.
The study data was collected 86 adult LEVV patients. The instrument contained demographic information form and satisfaction questionnaire. The section inquired the participants for their basic information, including age, gender, education level, and occupation. The second part was a self-developed satisfaction scale. The content was related to the LEVV-surgical patients' satisfaction and loyalty to SDM. There were 16 questions in total. 89.5% underwent LEVV surgery for the first time. The Analysis of satisfaction, surgeons' communication with patient and family members and explanation of operation-related matters mean (M = 4.2). The results suggested that two-way medical-patient communication could be achieved via SDM. patients had great trust in the hospital.
The patients' views on SDM altered after experiencing it, The 90% of the patients thought that PDAs were helpful in decision-making. This study introduces the medical-patient SDM a bridge between medical staff and patients. PDA so that patients can understand the advantages and disadvantages of different treatment methods, Which can further enhance the quality of patient care and improve patient satisfaction and loyalty.