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眼科日间手术病房中听力障碍患者满意度影响因素分析
作者:严嘉丽  张琪 
单位:上海市普陀区中心医院 眼耳鼻喉科, 上海 200062
关键词:眼科手术 听力障碍 影响因素 满意度 
分类号:R473.77
出版年·卷·期(页码):2025·53·第九期(1408-1413)
摘要:

目的: 探讨眼科日间手术病房中听力障碍患者满意度的影响因素。方法: 回顾性纳入2023年1月至2024年6月在眼科日间手术病房行眼科手术同时合并听力障碍的240例患者,对患者满意度情况进行调查,并根据满意度情况将患者分为满意组及不满意组,采用单因素和多因素Logistic回归分析患者满意度的相关影响因素。结果: 240例患者满意度量表得分为47~91分,平均为(78.02±9.13)分,得分处于中等偏上水平,其中不满意患者共41例,不满意发生率为17.08%。不满意组患者焦虑或抑郁比例、术后存在并发症患者比例、无辅助沟通方式支持患者比例及就医时病房环境不安静患者比例均高于满意组(均P<0.05)。多因素Logistic回归分析显示,焦虑或抑郁、术后有并发症、无辅助沟通方式支持情况及就医时病房环境不安静情况均为影响患者满意度的危险因素(均P<0.05)。结论: 情绪状态、术后并发症、辅助沟通方式支持情况、就医时病房环境情况均为眼科日间手术病房中听力障碍患者满意度的影响因素。

Objective: To explore the influencing factors of satisfaction of hearing-impaired patients in the ophthalmic day surgery ward. Methods: A retrospective analysis was conducted on 240 hearing-impaired patients who underwent ophthalmic surgery in the ophthalmic day ward from January 2023 to June 2024. The patients' satisfaction was investigated, and they were divided into a satisfied group and a dissatisfied group based on their satisfaction. Univariate and multivariate Logistic regression analyses were used to identify the relevant influencing factors of patients' satisfaction. Results: The satisfaction scores of 240 patients ranged from 47 to 91 points, with an average score of(78.02±9.13) points, which was above the medium level. Among them, 41 patients were dissatisfied, with a dissatisfaction rate of 17.08%. The proportions of patients with anxietyo or depression, patients with postoperative complications, patients without support for auxiliary communication methods, and patients with an unquiet ward environment during medical treatment in the dissatisfied group were all higher than those in the satisfied group(all P<0.05). Multivariate Logistic regression analysis showed that anxiety or depression, presence of postoperative complications, lack of support for auxiliary communication methods, and unquiet ward environment during medical treatment were all risk factors affecting patients' satisfaction(all P<0.05). Conclusion: Emotional state, postoperative complications, support for auxiliary communication methods, and ward environment during medical treatment are all influencing factors on the satisfaction of hearing-impaired patients in ophthalmic day surgery wards.

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