【摘要】 目的 调查分化型甲状腺癌预住院患者满意度现状，并分析其影响因素，以期为医疗机构优化预住院服务流程、制定针对性提升策略提供依据。方法 采用随机抽样法选取2024年11月至2025年3月于南京医科大学第一附属医院甲状腺外科一病区确诊并接受治疗的523例分化型甲状腺癌预住院患者作为调查对象。应用一般资料调查表、满意度量表进行一般资料、满意度调查。采用多元线性逐步回归分析影响分化型甲状腺癌预住院患者满意度的因素。结果 523例分化型甲状腺癌预住院患者满意度总得分为（101.23±3.63）分，各维度条目得分从高到低依次为诊疗服务（4.75±0.44）分、症状管理（4.63±0.40）分、流程管理（4.54±0.32）分、环境设施（4.41±0.28）分。总体满意度条目得分为（4.60±0.38）分，总体满意度为93.31%。单因素分析显示，<40岁患者满意度总分显著高于40～60岁、>60岁，40～60岁患者满意度总分显著高于>60岁，差异有统计学意义（P<0.05）；此外，大专及以上文化程度、医保、月收入≥5 000元、城市、无转移患者满意度总分分别显著高于高中及以下文化程度、自费、月收入<5000元、农村、有转移患者的满意度总分，差异有统计学意义（P<0.05）。多元线性回归分析显示，年龄、文化程度、医疗支付方式、月收入、居住地、肿瘤有无转移是分化型甲状腺癌预住院患者满意度得分的独立影响因素（P<0.05）。结论 分化型甲状腺癌预住院患者满意度总体较好，其中诊疗服务方面尤为突出。然而，患者满意度仍受年龄、文化程度、医疗支付方式、月收入、居住地、肿瘤有无转移等因素影响。因此，建议医疗机构关注具有上述特征的患者，并采取针对性管理策略，以进一步提升预住院服务质量与患者体验。更多还原

【Abstract】 Objective To investigate the current status of satisfaction among pre-hospitalized patients with differentiated thyroid cancer and analyze its influencing factors, so as to provide a basis for medical institutions to optimize the prehospitalization service process and formulate targeted improvement strategies. Methods A total of 523 pre-hospitalized patients with differentiated thyroid cancer diagnosed and treated in the First Ward of Thyroid Surgery at the First Affiliated Hospital of Nanjing Medical University from November 2024 to March 2025 were selected by random sampling. General information and satisfaction were investigated using a general information questionnaire and a satisfaction scale. Multiple linear stepwise regression analysis was used to analyze the factors influencing satisfaction among pre-hospitalized patients with differentiated thyroid cancer. Results The total satisfaction score of the 523 pre-hospitalized patients with differentiated thyroid cancer was(101.23±3.63) points. The item scores of each dimension from high to low were as follows: diagnosis and treatment services(4.75±0.44) points, symptom management(4.63±0.40) points, process management(4.54±0.32) points, and environmental facilities(4.41±0.28) points. The overall satisfaction item score was(4.60±0.38) points, and the overall satisfaction rate was 93.31%. Univariate analysis showed that the total satisfaction score of patients aged <40 years was significantly higher than that of patients aged 40–60 years and >60 years, and the total satisfaction score of patients aged 40–60 years was significantly higher than that of patients aged >60 years, with statistically significant differences(P<0.05). In addition, the total satisfaction scores of patients with a college degree or above, medical insurance, monthly income ≥5 000 yuan, urban residence, and no metastasis were significantly higher than those of patients with a high school education or below, self-payment, monthly income <5 000 yuan, rural residence, and metastasis, respectively. The differences were statistically significant(P<0.05). Multiple linear regression analysis showed that age, educational level, medical payment method, monthly income, place of residence, and presence or absence of tumor metastasis were independent influencing factors of the satisfaction scores of pre-hospitalized patients with differentiated thyroid cancer(P<0.05). Conclusion The overall satisfaction of pre-hospitalized patients with differentiated thyroid cancer is relatively good, with diagnosis and treatment services being particularly outstanding. However, patient satisfaction is still influenced by factors such as age, educational level, medical payment method, monthly income, place of residence, and presence or absence of tumor metastasis. Therefore, it is recommended that medical institutions focus on patients with the aforementioned characteristics and adopt targeted management strategies to further improve the quality of pre-hospitalization services and patient experience.更多还原