江苏省5市终末期肾病(ESRD)患者血液透析(HD)服务满意度调查

Investigation of end-stage renal disease(ESRD)patients′satisfaction degree with hemodialysis(HD)in 5 cities of Jiangsu Province,China

目的调查终末期肾病（end-stage renal disease,ESRD）患者对血液透析的满意度,为改进血液透析服务质量提供参考。方法采用自行编制的血液透析患者满意度调查表,于2013年3月至5月期间选取苏南、苏中和苏北5个代表城市422名进行血液透析的ESRD患者进行问卷调查。调查内容包括基本情况、关于透析知识的认知和宣传教育,以及血液透析满意度评价3个部分。回收有效问卷410份,有效回收率97.2%。结果 410名患者中,371人（90.5%）接受了透析知识宣传教育,在血透认知方面,7人（1.7%）表示完全不了解,152人（37.1%）部分了解,209人（51.0%）大部分了解,42人（10.2%）完全了解。ESRD患者对血液透析服务的总体评价,320名患者（78.0%）表示非常满意,66名患者（16.1%）较满意,8名患者（2.0%）一般,5名患者（1.2%）不满意,11名患者（2.7%）非常不满意。将得分情况分为满意（7~10分）和不满意（0~6分）进行Logistic分析,筛选出影响患者血液透析总体满意度的影响因素是：性别、健康状况、医生对您提出问题的讲解程度、候诊室、透析室的清洁舒适程度（P〈0.05）。结论 ESRD患者血液透析总体满意度较高,但医疗机构对血透知识宣传教育的普及度和充分度仍有不足。营造清洁舒适的透析环境、提高医生对患者的讲解程度有利于改善患者总体满意度。

Objective To investigate the satisfaction on hemodialysis in patients with end-stage renal disease （ESRD）, so as to provide references for improving the quality of hemodialysis. Methods A self-made patient satisfaction questionnaire was designed to investigate the demographic characteristics,the propaganda and education,and the satisfaction of hemodialysis. Totally 422 patients with ESRD undergoing hemodialysis from 5 cities （in southern, middle or northern area） of Jiangsu Province were surveyed between Mar. and May, 2013. The eligible retrieval rate was 97.2% （410/ 422）. Results Among the 410 respondents,371 （90. 5%） accepted education about hemodialysis. And there were 7 （1.7%）, 152 （37.1 %） ,209 （51.0 %） and 42 （10. 2%） patients whose cognition of hemodialysis was no understanding, part of understanding, most of understanding and fully understanding,respectively. There were 320 （78.0%） ,66 （16.1 %） ,8 （2. 0%） and 5 （1.2%） patients whose general satisfaction degree on hemodialysis was very satisfied, satisfied,general and dissatisfied, respectively. The influencing factors on general satisfaction degree of ESRD patients with hemodialysis screened by Logistic analysis were gender, health status, doctors＇ explanation to patients＇ questions and the clean and comfortable degree of the waiting room and dialysis room （P〈0. 05）. Conclusions The ESRD patients＇ general satisfaction degree was fine, however, here was still great space to improve in popularity and sufficiency of health education. To create a clean and comfortable environment and improve doctors＇ explanation to patients＇ questions would he help to improve the overall satisfaction.