云南省某生殖医学科161例IVF-ET患者就诊满意度与治疗信心影响因素

Factors Affecting Satisfaction and Treatment Confidence of 161 Patients with IVF-ET in a Reproductive Medicine Department of Yunnan Province

目的对云南省某生殖医学科接受体外授精-胚胎移植(IVF-ET)治疗的不孕患者就诊情况进行调查,为生殖科改进服务流程、提升服务质量及患者满意度提供依据。方法采用问卷调查了解161名体外受精-胚胎移植患者的就诊情况。此外还对9名患者进行了个人深入访谈。结果共调查161名女性患者,平均年龄33岁,男方平均年龄35岁。113名患者(70.2%)对科室整体评价为满意,但对于挂号、缴费等服务环节评价相对较低,满意度评分为5.54分。获卵数少是被患者(34.8%)提及最多的问题,其次为胚胎养成数量少,占30.4%,而这2个问题相应的治疗信心平均评分为4.95和4.78分。Logistic回归分析显示,女性职业为中专/高中(OR=0.372,95%CI:0.159~0.870)的患者及在治疗的各个环节中出现过相关问题的患者(OR=2.520,95%CI:1.117~5.687)越容易影响其满意度。患者均表示在就诊各环节中平均等待时间基本可接受。移植成功率不高是患者(37.9%)选择去其他医院治疗的首要原因。结论患者在就诊过程中,对该生殖医学科就诊各环节总体服务质量较满意,但挂号缴费、诊疗卡办理以及门诊这两个环节仍有待改善。医护人员对患者就诊过程中出现的问题应给予及时、有效的帮助,降低患者流失风险。

Objective To investigate satisfaction and treatment confidence of the infertility patientswho had received in vitro fertilization-embryo transfer(IVF-ET)treatment in one reproductive medicine department of Yunnan Province for providing a basis in terms of increasing efficient of service process,improving service quality and patient satisfaction of the assisted reproductive services. Methods A total of 161 female patients were interviewed,with an average age of 33 years and the average age of their husbands was 35 years.113 patients(70.2%)were satisfied with the overall evaluation of the department,but the evaluation of service links such as registration and payment was relatively low,and the satisfaction score was 5.54.The most concernedproblem of patients is about the fewer number of occytes retrieved,accounting for 34.8%,followed by the number of high-quality embryos,accounting for 30.4%.Their corre sponding average score of confidence in treatment was 4.95 and 4.78 respectively.The logistic regression results showed that women with in high school or a technical secondary school education (OR=0.372,95%CI:0.159-0.870)and Patients who have experienced problems in all aspects of treatment(OR=2.520,95%CI:1.117-5.687)are more likely to affect their satisfaction.The average waiting time of patients in all aspects of the visit is basically within the acceptable range.The low success rate of transplantation is the primary reason why patients (37.9%) choose to go to other hospitals for treatment.Conclusion During the patients visiting in the hospital,they were satisfied with the overall quality of service in all aspects of the reproductive medicine department,however,the registration fee,the treatment cards processing and outpatient service still need to be improved.The medical staff should help the problems that occur during the patient's visit promptly and effectively,and reduce the risk of patients' loss.