【摘要】 目的比较血液透析和腹膜透析的患者服务满意度,探讨透析患者服务满意度的影响因素。方法采用自行编制的血液透析患者满意度调查问卷,于2013年3—5月期间选取苏南、苏中和苏北10个代表城市800名透析患者进行问卷调查,回收有效问卷773份,有效回收率96.6%。结果 1血透组和腹透组两组患者的性别、原发疾病、受教育程度、医疗保险形式构成方面的差异无统计学意义(P>0.05),在透析持续时间方面的差异有统计学意义(P<0.05)。2血透组和腹透组对透析前宣传教育的评价,腹透组高于血透组,差异有统计学意义(P<0.05);对随访期宣传教育的评价,腹透组高于血透组,差异有统计学意义(P<0.05)。3通过对血透组和腹透组的χ2检验,影响患者满意度的6个因素对两组影响的差异均无统计学意义(P>0.05)。4根据影响满意度的6个因素,腹透组追加"电话联系医护人员的方便程度""随访的频率""透析中意外事件的处理程度"3个因素;对血透组和腹透组分别做多元线性回归,进一步筛选影响血透组和腹透组总体满意度的影响因素。结果显示,血透组中"医生对提出问题的讲解程度""护士进行技术操作的专业程度"2个因素有统计学意义(P<0.05);腹透组中"护士进行技术操作的专业程度""透析中意外事件的处理程度""医生对提出问题的讲解程度"3个因素有统计学意义(P<0.05)。结论 1腹膜透析的总体满意度高于血液透析。2加强对腹膜透析知识的宣传教育。3提高护理人员的技术水平。4提升腹膜透析服务水平,利于腹膜透析的推广。更多还原

【Abstract】 Objective To compare the service satisfaction of patients with end-stage renal disease( ESRD) who undergo hemodialysis( HD) and peritoneal dialysis( PD) and explore the factors that influence the service satisfaction. Methods A total of 800 patients from 10 cities of Jiangsu province were selected from March to May, 2013. A self-designed questionnaire of satisfaction was used. And 773 valid questionnaires were returned and the valid return rate was 96. 6%. Results 1The differences of gender, primary disease, education level,and health insurance of the HD group and PD group were not statistically significant( P > 0. 05), while the difference of dialysis duration was statistically significant( P < 0. 05). 2 The evaluation of propaganda and education before dialysis of the PD group was better than that of the HD group and the difference was statistically significant( P < 0. 05). The evaluation of propaganda and education during follow-up period of the PD group was better than that of the HD group and the difference was statistically significant( P < 0. 05). 3 The differences of effects of 6 influencing factors on the service satisfaction of patients were not statistically significant( P > 0. 05)according to the results of chi-square test. 4 According to 6 influencing factors of service satisfaction, 3 factors were added for the PD group, i. e. the convenience of contacting medical workers by telephone, frequency of the follow-up, and handling of accidents during dialysis. The multivariate linear regression analysis was conducted for both groups and factors that influenced the overall service satisfaction were screened. The results showed that 2factors of the HD group, i. e. interpretation of questions by doctors and professional competence of nurses, were statistically significant( P < 0. 05), while 3 factors of the PD group, i. e. interpretation of questions by doctors,professional competence of nurses, and handling of accidents during dialysis were statistically significant( P <0. 05). Conclusion 1 The overall satisfaction of patients who undergo the PD is higher than that of patients who undergo the HD. 2 The propaganda and education of peritoneal dialysis should be enhanced. 3The competence of nursing staff should be improved. 4The services for peritoneal dialysis should be enhanced and this will benefit the promotion of peritoneal dialysis.更多还原