PDF(Pubmed)
Abstract：
The study aimed to explore patients\' experiences and perceptions throughout the various stages of endoscopic procedures and examine the association between patient-centered communication and the patient\'s experience. A total of 191 patients responded to pre- and post-procedure surveys that inquired about fear and pain, patients\' satisfaction regarding the information provided to them, perceptions and experience. Pain was associated with post-procedure fear (r = 0.63, p < 0.01) and negatively associated with reported patient experience at the end of the visit (r = -0.17, p < 0.01). Significant positive associations were found between patient experience and satisfaction from the information provided before (r = 0.47, p < 0.01) and the information provided after the procedure (r = 0.51, p < 0.001). A predictive model found that perceptions toward the physicians, satisfaction from information provided before discharge, and feelings of trust are predictors of the patient experience (F = 44.9, R2 = 0.61, p < 0.001). Patients\' satisfaction with information provided before and after the procedure can positively affect the patients\' experience, leading to a decrease in fear and anxiety and increasing compliance with medical recommendations. Strategies for PCC with endoscopic patients should be developed and designed in a participatory manner, taking into account the various aspects associated with the patient experience.
摘要：
该研究旨在探索患者在内镜手术各个阶段的体验和看法，并检查以患者为中心的沟通与患者体验之间的关联。共有191名患者接受了询问恐惧和疼痛的术前和术后调查，患者对提供给他们的信息的满意度，感知和经验。疼痛与术后恐惧相关（r=0.63，p<0.01），与访视结束时报告的患者体验呈负相关（r=-0.17，p<0.01）。从之前提供的信息（r=0.47，p<0.01）和手术后提供的信息（r=0.51，p<0.001）中发现患者体验与满意度之间存在显着的正相关。一个预测模型发现，对医生的看法，对出院前提供的信息的满意度，和信任感是患者体验的预测因子（F=44.9，R2=0.61，p<0.001）。患者对手术前后提供的信息的满意度可以积极影响患者的体验，导致恐惧和焦虑的减少，并增加对医疗建议的依从性。应该以参与的方式制定和设计PCC治疗内镜患者的策略，考虑到与患者体验相关的各个方面。
