目的探讨改良早期预警评分(modified early warning score,MEWS)应用于院前急救患者,评估与其预后的相关性以及实施MEWS评分表前后满意度对比。方法选择2019年2—4月对我院558例患者进行MEWS评分,评价MEWS评分与急诊抢救率、入院率、病...目的探讨改良早期预警评分(modified early warning score,MEWS)应用于院前急救患者,评估与其预后的相关性以及实施MEWS评分表前后满意度对比。方法选择2019年2—4月对我院558例患者进行MEWS评分,评价MEWS评分与急诊抢救率、入院率、病死率等预后的相关性,同时与我院未进行MEWS评分院前急救的532例进行患者家属的就诊满意率和科室对转运质量满意率比较。结果随着MEWS评分升高,患者病情越重,死亡率越高,进行MEWS评分与未进行MEWS评分的患者家属的就诊满意率和科室对转运质量满意率差异具有统计学意义(P<0.05)。结论院前急救患者抢救率、入院率、病死率均随着MEWS分值的增加而增高,院前急救患者MEWS评分有独立预测急诊患者预后的价值,应用MEWS评分在院前急救中满意度升高。展开更多
Objectives:This study aims to explore the role of consultation and relational empathy(CARE)and socio-demographic profile as predictors of patients'satisfaction among pregnant women attending antenatal care(ANC)in ...Objectives:This study aims to explore the role of consultation and relational empathy(CARE)and socio-demographic profile as predictors of patients'satisfaction among pregnant women attending antenatal care(ANC)in selected public primary health facilities in rural sub-districts of Saki,Oyo State,Nigeria.Methods:This cross-sectional study recruited a total of 582 pregnant women in four primary health centers.Expectant mothers responded to a questionnaire covering demographic characteristics,clinic visitation,CARE,and patients'satisfaction.All data was analyzed using descriptive,univariate and multivariate statistical tools.P<0.05 level was considered statistically significance.Results:Findings revealed that the participants had a mean age of 23.15±5.23 years.The pattern of patients'satisfaction revealed that 13.40%(78/582)were highly satisfied with the health care received compared to 86.60%(504/582)with moderate to low satisfaction ratings with ANC.Highly satisfied patients placed higher value on technical quality,interpersonal relation,communication,financial aspects,time spent and accessibility convenience(P=0.001).Multiple linear regression model indicated that relational empathy(β=0.28,P<0.001),2nd trimester of pregnancy(β=0.13,P=0.01),age categories of 30-<40 years(β=-0.12,P=0.02),and 40-<50 years(β=-0.11,P=0.04),religious affiliation(β=0.10,P=0.03)predicted satisfaction with ANC.Conclusion:Low patients'satisfaction with antenatal healthcare services resulting from hostile attitudes from health workers has implication for the delivery and acceptability of services offered to eradicate maternal mor-tality globally.Thus,regular training and re-training of health care personnel in frequent contact and interaction with patients will go a long way in reducing untoward work attitude and maternal mortality in rural ANC centers globally.展开更多
文摘目的探讨改良早期预警评分(modified early warning score,MEWS)应用于院前急救患者,评估与其预后的相关性以及实施MEWS评分表前后满意度对比。方法选择2019年2—4月对我院558例患者进行MEWS评分,评价MEWS评分与急诊抢救率、入院率、病死率等预后的相关性,同时与我院未进行MEWS评分院前急救的532例进行患者家属的就诊满意率和科室对转运质量满意率比较。结果随着MEWS评分升高,患者病情越重,死亡率越高,进行MEWS评分与未进行MEWS评分的患者家属的就诊满意率和科室对转运质量满意率差异具有统计学意义(P<0.05)。结论院前急救患者抢救率、入院率、病死率均随着MEWS分值的增加而增高,院前急救患者MEWS评分有独立预测急诊患者预后的价值,应用MEWS评分在院前急救中满意度升高。
文摘Objectives:This study aims to explore the role of consultation and relational empathy(CARE)and socio-demographic profile as predictors of patients'satisfaction among pregnant women attending antenatal care(ANC)in selected public primary health facilities in rural sub-districts of Saki,Oyo State,Nigeria.Methods:This cross-sectional study recruited a total of 582 pregnant women in four primary health centers.Expectant mothers responded to a questionnaire covering demographic characteristics,clinic visitation,CARE,and patients'satisfaction.All data was analyzed using descriptive,univariate and multivariate statistical tools.P<0.05 level was considered statistically significance.Results:Findings revealed that the participants had a mean age of 23.15±5.23 years.The pattern of patients'satisfaction revealed that 13.40%(78/582)were highly satisfied with the health care received compared to 86.60%(504/582)with moderate to low satisfaction ratings with ANC.Highly satisfied patients placed higher value on technical quality,interpersonal relation,communication,financial aspects,time spent and accessibility convenience(P=0.001).Multiple linear regression model indicated that relational empathy(β=0.28,P<0.001),2nd trimester of pregnancy(β=0.13,P=0.01),age categories of 30-<40 years(β=-0.12,P=0.02),and 40-<50 years(β=-0.11,P=0.04),religious affiliation(β=0.10,P=0.03)predicted satisfaction with ANC.Conclusion:Low patients'satisfaction with antenatal healthcare services resulting from hostile attitudes from health workers has implication for the delivery and acceptability of services offered to eradicate maternal mor-tality globally.Thus,regular training and re-training of health care personnel in frequent contact and interaction with patients will go a long way in reducing untoward work attitude and maternal mortality in rural ANC centers globally.
