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عضویت

جستجوی مقالات مرتبط با کلیدواژه « Patients satisfaction » در نشریات گروه « پزشکی »

  • زینب محمدی، حسین دیدهخانی*
    زمینه و هدف

    رضایتمندی بیماران با کمک به ایجاد اعتماد و روابط بهتر بیماران با تیم درمانی، بهبود بیماران را تسریع می بخشد. ضمن این که بر بهبود کیفیت خدمات بهداشتی-درمانی تاثیرگذار می باشد. از این رو در این مطالعه میزان رضایتمندی بیماران از خدمات بهداشتی-درمانی یک بیمارستان خصوصی در شهر گرگان مورد بررسی قرار گرفت.

    روش کار

    تحقیق حاضر از نوع توصیفی- مقطعی بود که با استفاده از پرسشنامه انجام شد. برای انجام این تحقیق از بین بیماران مراجعه کننده به بیمارستان غیر دولتی فلسفی گرگان تعداد 173 بیمار به صورت در دسترس به عنوان نمونه انتخاب شدند سپس سطح رضایت بیماران بستری با استفاده از پرسش نامه محقق ساخته که دارای پنج مولفه بوده و روایی و پایایی آن توسط اساتید دانشگاه علوم پزشکی گلستان مورد تایید قرار گرفت ارزیابی شد و اطلاعات با استفاده از نرم افزار SPSS مورد تجزیه و تحلیل آماری قرار گرفت.

    یافته ها

    در مجموع اکثر بیماران رضایت متوسط به بالا ابراز داشتند. رضایتمندی در بخش درمانی نسبت به بخش غیر درمانی بیشتر بود. بیشترین رضایتمندی از "برخورد پزشکان" (62/80 % پاسخ عالی) بود.

    نتیجه گیری

    با توجه به نتایج توصیه می شود جهت بهبود رضایتم ندی بخش پذیرش تمهیدات لازم در نظر گرفته شود. همچنین وجود نارضایتی اندک علی رغم میزان رضایت خوب بیماران از خدمات بهداشتی-درمانی بیمارستان، توجه و بازنگری مدیران برای رفع ضعف ها و جذب اعتماد و وفاداری بیشتر بیماران را می طلبد.

    کلید واژگان: رضایتمندی بیماران, بیمارستان خصوصی, برخورد پزشکان}
    Zeinab Mohammadi, Hosein Didekhani*
    Background & Aims

    There are different definitions of patient satisfaction provided by researchers. In general, the definition of patient satisfaction includes the patient's expectations and the excellence of health care and medical services (1). Various factors are involved in creating patient satisfaction, which include nursing care, medicine, support and various organizational departments (2). Information related to patient satisfaction can be used in many health-care facilities and designs and be effective in improving the quality of health care (1). The importance of patient satisfaction is that if this is achieved, the patient will establish a better and more appropriate relationship with the treatment team, and in this way, recovery will be accelerated. By building trust towards hospital personnel, the patient will be more cooperative in treatment procedures (3). According to the above content, it is clear that firstly, the level of patients' satisfaction with hospitals is very low compared to the rest of the world, and on the other hand, the conducted researches have considered other dimensions that are contrary to the dimensions of the present research. In the context of the subject, it has not been done in Gorgan hospitals, so in this study, we investigated the level of patients' satisfaction with the health and treatment services of Gorgan Philosophical Hospital in order to add a point to the existing information in this field in order to solve the existing deficiencies. For this purpose, a satisfaction questionnaire was completed by the patients and the obtained information was analyzed.

    Methods

    The current research is a descriptive-cross-sectional type that was conducted in 1401. For this purpose, from among the patients who were admitted in the departments of internal medicine and male surgery (Milad), neurology and psychology (Aghaz), CCU, general department (Pegah), internal medicine and female surgery (Shafaq) and maternity ward, available during a 173 patients were selected as samples. Then, the satisfaction level of referring patients was investigated using a questionnaire whose validity and reliability were confirmed by the professors of Golestan University of Medical Sciences. The questionnaire contained demographic information including age, gender, level of education and the department where the patient was admitted. Questionnaire topics include security with one question, reception with two questions, department secretary with one question, medical staff with 5 questions, nursing staff with 8 questions, nutrition with 5 questions, laboratory with 3 questions, pharmacy with one question, discharge and cashier with 4 questions, imaging with 3 questions and amenities with 13 questions.

    Results

    Out of 173 patients included in the study, 13 patients were excluded due to the incompleteness of the questionnaires and their lack of consent to participate in the study. A total of 160 patients were examined. The demographic information of the patients is presented in Table 1. According to the information obtained, the age of men was higher than the age of women, while the number of female participants was higher than that of men. The educational level of most of the participating patients (38%) was diploma and most of the patients (25%) from Milad department of the hospital participated in this study.The frequency distribution of patients based on different health and treatment services provided in Philosophical Hospital is presented in Table 1. The most satisfied was with "doctors' encounter" where 129 people (80.62 percent) gave an excellent answer. The lowest level of satisfaction was "providing necessary training regarding the amount of tariffs and service insurance coverage" where 83 people (51.87%) gave an excellent answer. Of course, the lowest level of satisfaction was related to "how to provide ambulance services" that not all patients used this service. The most weak answer was related to the question of "providing necessary information for admission" and 7 people (4.37) gave this answer.

    Conclusion

    Based on the results, more than 50% of patients had an excellent opinion on all the services provided. In general, in the medical staff department with 5 services, on average, 73.25% of patients had an excellent opinion and 19.50% had a good opinion. In general, patients' satisfaction with the services of the nursing staff was slightly lower than that of the medical staff. The importance of satisfaction with nursing services is to the extent that it affects patients' satisfaction with the entire hospital services (6). In this regard, Aiken et al. (2018), in an extensive study on patients discharged from 161 British hospitals, point out the important role of the quality of nurses' work and the presence of the right number of professional and experienced nurses in patients' trust in nurses and doctors (7). In the nutrition department, on average, 63.22% of the patients gave an excellent response and 29.37% gave a good response to the service. The highest level of satisfaction was related to "time of food distribution" and the highest level of satisfaction was related to food quality. In the laboratory department, on average, 58.33% of patients gave an excellent response and 28.33% gave a good response to the service. In this department, the percentage of patients with no response was increasing. This result is worth considering. In the departments of pharmacy, discharge and fund, imaging and comfort facilities, the satisfaction of the patients gradually decreased, which should be noticed by the hospital officials. In the security department, reception and department secretary, the responses were mostly excellent and good. But the presence of 7 weak answers in "providing the necessary information at the time of admission" was significant and requires more cooperation of the admission staff. In this context, Moin et al. (2016) investigated the satisfaction of 400 patients with the emergency services in Shahid Mostafa Khomeini Hospital, Tehran. The findings showed that 91.3% of patients had satisfactory satisfaction. The highest level of satisfaction was with the medical staff. The lowest level of satisfaction was reported in the received costs, the facilities of the emergency department compared to the comfort facilities and park clinic affairs. They stated that the status of health insurances, activating hospital staff, equipping comfort facilities and finding committed and experienced human resources were the things that needed more attention from the managers of the mentioned hospital (3). In our study, similar to the study of Moin et al., satisfaction with the medical staff (doctors and nurses) was more than other services. Overall, patient satisfaction is one of the factors that increase patients' loyalty to the hospital and its services. In this regard, Yousefi et al. (2017), in the study of the factors affecting the loyalty of patients to the hospital brand in the educational and therapeutic hospitals of Shiraz University of Medical Sciences, named three factors affecting the increase of loyalty, which are patient satisfaction, trust and commitment. to the relationship in the hospital (14).

    Keywords: Patients’ satisfaction, Privet hospital, Behavior of doctors}
  • سیده سمیه حسینی، زهرا میرشکار، زهرا مهربخش، علی اصغر آیت اللهی، سیده صدیقه حسینی*
    مقدمه
    یکی از مولفه های خدمات مراقبت های بهداشتی موثر، اندازه گیری میزان رضایت بیماران است. رضایت بیمار، ادراک بیمار از مراقبت دریافتی در مقایسه با مراقبت مورد انتظار است. از این رو ارزیابی میزان رضایت بیماران اهمیت دارد. هدف این مطالعه تعیین رضایت بیماران از خدمات آزمایشگاهی بالینی و عوامل مرتبط با آن در بخش های سرپایی و بستری بیمارستان پنج آذر گرگان می باشد.
    مواد و روش ها
    در این مطالعه توصیفی-تحلیلی، تعداد 549 بیمار بخش های بستری و سرپایی مراجعه کننده به آزمایشگاه بیمارستان پنج آذر در سال 1398، به روش نمونه گیری در دسترس وارد مطالعه شدند. اطلاعات مورد نیاز  مطالعه با استفاده از یک پرسشنامه 23 سوالی شامل مشخصات فردی، نحوه ارایه خدمات به بیماران و امکانات محیط آزمایشگاه به روش مصاحبه حضوری تکمیل گردید. تجزیه و تحلیل داده های پژوهش با استفاده از نرم افزار Spss نسخه 22 در سطح معنی داری  05/0 با دو روش آمار توصیفی و استنباطی انجام شد.
    یافته ها
    از بین 549 بیمار مورد مطالعه با میانگین و انحراف معیار سنی 20/18±51/38، 1/56% مرد و 9/59% دارای سواد ابتدایی و زیر دیپلم، 8/87% دارای بیمه بوده و از بین افراد بستری 6/83% کمتر از یک هفته بستری بودند. 9/88% افراد در بخش بستری و مابقی سرپایی بودند. میانگین و انحراف معیار نمره رضایت در بعد خدمات 85/5 ± 32/41، در بعد محیط 62/2 ± 02/15و نمره کل رضایتمندی 31/6 ± 34/56 به دست آمد. در بعد خدمات از بین متغیرهای موجود تنها در متغیر وضعیت بیمه و در بعد محیط تنها در متغیرهای دفعات بستری و مدت بستری اختلاف معنی داری از نظر آماری مشاهده شد (P<0/05).
    نتیجه گیری
    بیماران از خدماتی چون پاسخگویی پرسنل، رعایت نوبت در پذیرش، نحوه برخورد پرسنل آزمایشگاه با بیماران، مهارت نمونه گیری در انجام آزمایش و فاکتورهای محیطی چون نظافت سرویس های بهداشتی آزمایشگاه، امکانات رفاهی، موقعیت مناسب و قابل دسترس آزمایشگاه رضایتمندی نسبی داشتند.
    کلید واژگان: رضایت بیماران, خدمات آزمایشگاهی بالینی, بیماران سرپایی, بستری}
    Seyedeh Somayeh Hosseini, Zahra Mirshekar, Zahra Mehrbaksh, Alireza Ayatollahi, Seyedeh Sedigheh Hosseini *
    Background
    One of the components of effective health care services is measuring patient satisfaction. Patient satisfaction is the patient's perception of the care received compared to the expected care. Assessing patient satisfaction is important because satisfied patients are more likely to follow treatment. The aim of this study was to determine patients satisfaction with clinical laboratory services and related factors in outpatient and inpatient wards of Panj Azar Hospital in Gorgan.
    Materials and Methods
    In this descriptive-analytical study in 2019, 549 patients in inpatient and outpatient wards referred to the medical laboratory of Panj Azar Hospital were included in the study by convenience  sampling method; The required information for the study was completed using a 23-item questionnaire including demographic characteristics, how to provide services to patients and facilities of the laboratory environment by face-to-face interview. The analysis of research data was performed using Spss software version 22 at the significance level of 0.05 with two methods of descriptive and inferential statistics. 
    Results
    Among 549 patients studied with a mean age of 38.51 and a standard deviation of 18.20, 56.1% were male and 59.9% had primary and post-graduate education, 87.8% had insurance and were among the hospitalized. 83.6% were hospitalized for less than a week. 88.9% of the patients were hospitalized and the rest were outpatients. Mean and standard deviation of satisfaction score in service dimension was 41.32 ± 5.85, satisfaction score in environment dimension was 15.02 ± 2.62 and total score was 56.34 ± 6.31. Is. Also, in the environment dimension, a statistically significant difference was observed between the available variables hospitalization frequency and length of hospitalization (P<0.05).
    Conclusion
    Patients were relatively satisfied with services such as staff responsiveness, queuing for admissions, how laboratory staff treat patients, sampling skills in performing tests, and environmental factors such as cleaning of laboratory toilets, amenities, appropriate and accessible laboratory location.
    Keywords: Patients satisfaction, clinical laboratory services, outpatients, inpatients}
  • F. Jamshidi, S. Ajineh, S. Moogahi*
    Aims

    Good physician-patient communication and patient satisfaction increase the patient's adherence to the prescribed treatments and improve the patient's health. This study aimed to investigate outpatient satisfaction levels with attending physicians in educational clinics in Ahvaz city.

    Instrument & Methods

    This cross-sectional, descriptive-analytical study was carried out on 170 outpatients, who referred to the educational clinics of the Ahvaz Jondishapour University of Medical Science. The samples were selected by the convenience sampling method. Data were collected by the demographic questionnaire and the standard questionnaire developed by the Ministry of Health and Medical Education. Data were analyzed using SPSS 22 software.

    Findings

    The average age of patients was 35.53±14.59, and the mean total satisfaction of patients was 52.86±7.52. There was no significant relationship between age, hospital, gender, educational level, marital status, and residence of outpatient's satisfaction with the attending physician (p<0.05).

    Conclusion

    The patient's satisfaction with the physician-patient communication was generally moderate, which is not desirable. Due to the role of communication skills in patient satisfaction and patient adherence to the treatment processes, it is necessary to consider the related skills in the educational and managerial programs of the relevant units.

    Keywords: Patients Satisfaction, Hospital Attending Physician, Outpatients, Ahvaz}
  • Ali Saffaei, Azadeh Moghaddas, Ali Mohammad Sabzghabaee
    Objective

    This study aimed to measure patient satisfaction with community pharmacy in Isfahan, Iran, in 2019.

    Methods

    In this cross‑sectional study (2019), we selected 104 pharmacies located in the second largest city of Iran (Isfahan) based on systematic random sampling and at least five clients at different times of a day who finished the process of obtaining medications from the pharmacies were randomly selected for a short and structured interview using the Persian version of the MacKeigan and Larson questionnaire for measuring patients’ satisfaction with pharmacy services.

    Findings

    The reliability of the questionnaire was confirmed after distributing 520 among the patients (r = 0.958). No significant difference was observed between sex, marital status, housing status, and total satisfaction score based on the results. In addition, there was a significant difference between educational levels, location, job status, insurance status, real income, and total score of satisfaction (P < 0.05). Our results revealed acceptable satisfaction in some aspects, such as paying attention to pharmacists, the general condition of the pharmacy, and their technical competence. On the other hand, the patients were not satisfied enough in different aspects, for example, counseling, accessibility to their needed drugs, and expenses.

    Conclusion

    Patient satisfaction needs to be improved and enhanced in the case of counseling the patients on their medications, and drug accessibility and expenses remain the primary source of dissatisfaction in the studied population, which should be noted by the Iranian Food and Drug Organization and other related authorities.

    Keywords: Community pharmacy, patients’ satisfaction, pharmacy, questionnaire}
  • Yodang Yodang*, Nuridah Nuridah
    Background

    Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings.

    Methods

    Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020.

    Results

    Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models.

    Conclusion

    The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.

    Keywords: Leadership, Nurses, Patient safety, Patients satisfaction, Safety management}
  • حسین آقاباقری، علی محقر، عالیه کاظمی*، سید سعید مظلومی محمودآباد
    مقدمه

    خدمات بهداشت و درمان که در راس آنها بیمارستان ها قرار دارند،  نقش مهمی را در تامین رضایت مندی جامعه ایفا می کنند. در این پژوهش میزان رضایت بیماران مراجعه کننده به درمانگاه تخصصی شهید صدوقی یزد از زمان بندی قرار ملاقات بررسی شده است.

    روش بررسی

    پژوهش حاضر مطالعه ای توصیفی- تحلیلی است. روش جمع آوری اطلاعات به صورت پرسشنامه بوده و با استفاده از نمونه گیری تصادفی از بین مراجعینی انجام گرفته که مراحل درمانی آنها به پایان رسیده و در حال خروج از محیط درمانی بوده اند. از آزمون های آماری T-test و همبستگی پیرسون برای تحلیل داده ها استفاده شده است.

    یافته ها

    بین نمره رضایت عمومی بیماران و جنسیت آنها و همچنین شهر محل سکونت آنها رابطه معناداری وجود دارد و رضایت عمومی مردان از زنان بالاتر و رضایت عمومی افراد بومی از افراد غیربومی بالاتر بوده است. همچنین بین رضایت از زمان بندی قرار ملاقات و زمان انتظار، پخش شدن قرار ملاقات ها، انجام قرار ملاقات در زمان دقیق، انتخاب درمانگر و در نظرگرفتن ترجیحات، هبستگی مثبت وجود دارد.

    نتیجه گیری

    تعداد مراجعینی که به درمان در رشته های مختلف پزشکی نیاز داشتند نسبتا قابل توجه بوده و  درصد بالایی از آنها با یک پزشک، بیش از یک قرار ملاقات داشته اند. تعداد زیادی از مراجعین که با انتخاب قبلی متخصص خود به درمانگاه مراجعه کرده بودند میزان رضایتمندی عمومی و تخصصی از خدمات ارایه شده بالاتر از حد متوسط داشته اند. با این وجود با توجه نارضایتی نسبی برخی از بیماران، ضروری است با برنامه ریزی مناسب در جهت برطرف کردن نقاط ضعف و بهبود شرایط موجود اقدام کرد.

    کلید واژگان: رضایت بیماران, زمان بندی قرار ملاقات, خدمات بهداشت درمان بیمارستانی}
    Hossein Aghabagheri, Ali Mohaghar, Aliyeh Kazemi*, Seyed Saeid Mazloomi Mahmoodabad
    Introduction

    Health services rendered by hospitals play an important role in satisfying the society. In this study, the level of patients satisfaction from the appointment schedule of the specialized clinic of Shahid Sadoughi in Yazd wasexamined.

    Methods

    The present descriptive-analytical research was conducted among patients with completed treatment steps using the random sampling method. A questionnaire was administered for data collection. T-test and Pearson correlation were applied to analyze the data.

    Results

     The general satisfaction of patients had a significant relationship with  their gender and the city where they live. Men's general satisfaction was higher than that of women. Moreover, public satisfaction of native patients was higher than non-natives. Satisfaction with the appointment had a positive correlation with the waiting times, distribution of appointments, exact time appointments, choice of therapist, and consideration of preferences.

    Conclusion

    The number of clients who needed treatment in various medical disciplines was relatively significant and a high percentage of patients met one physician more than once. Many clients who referred to the clinic with a prior choice of a specialist had above-average satisfaction with the provided services. However, due to the relative dissatisfaction of some patients, it is necessary to have appropriate plans to eliminate the weaknesses and improve the conditions.

    Keywords: Patients' satisfaction, Appointment schedule, Hospital health care services}
  • علی حسن رحمانی*، مینا رنجگران آلانق، فرخنده جمشیدی

    افزایش رضایتمندی بیمار، سبب افزایش پیروی او از درمان‌های تجویزشده و بهبود سلامتی‌اش می‌شود. هدف از مطالعه‌ی حاضر، تعیین میزان رضایتمندی بیماران از پرستارهای بخش جراحی بیمارستان‌های «امام» و «رازی» و «گلستان» اهواز، در سال 1397، است. این پژوهش، مطالعه‌ای توصیفی‌تحلیلی و از نوع مقطعی است که روی بیماران بالای هجده سال و دارای سابقه‌ی حداقل سه روز بستری انجام شد. اطلاعات مورد نظر، ازجمله سن، جنس، وضعیت تاهل، سطح تحصیلات، نوع بیماری، مدت‌زمان بستری، تعداد دفعات بستری در بیمارستان و وضعیت سلامتی، ازطریق فرم مشخصات دموگرافیک جمع‌آوری شد. میزان رضایتمندی بیماران از پرستاران، به‌ وسیله‌ی پرسش‌نامه‌ی رضایتمندی از خدمات پرستاری به دست آمد و ارتباط آن با متغیرهای فوق، با آزمون‌های آماری کای اسکویر، آزمون آنالیز واریانس یک‌طرفه، آنالیز کروسکال-والیس، آزمون من-ویتنی و ضریب هم‌بستگی اسپیرمن و به ‌وسیله‌ی نرم‌افزار SPSS سنجیده شد. میزان رضایت بیماران در بیمارستان‌های رازی، گلستان و امام، به‌ترتیب، برابر 09/12±25/78، 24/11±30/68 و 42/17±09/58 بود. بیشترین میزان رضایتمندی بیماران، مربوط به بیمارستان رازی بود (05/0>P-value). با افزایش سن، داشتن سابقه‌ی بستری و افزایش مدت‌زمان آن، امتیاز رضایتمندی بیماران، به‌طوری معنی‌دار کاهش یافت (05/0>P-value)؛ اما بین میزان رضایت بیماران به تفکیک وضعیت تاهل و محل سکونت و سطح تحصیلات، تفاوتی معنی‌دار مشاهده نشد (05/0<P-value). پیشنهاد می‌شود راهکار‌هایی موثر برای افزایش رضایتمندی بیماران، ازطریق مراقبت و توجه بیشتر، درخصوص افراد حساس‌تر و همچنین، آگاهی‌رسانی بیشتر در سطح جامعه درباره‌ی وظایف بیماران و پرستاران و کادر درمانی صورت گیرد.

    کلید واژگان: بخش جراحی, پرستار, رضایت بیماران}
    Ali Hassan Rahmani*, Mina Ranjgaran Alanagh, Farkhondeh Jamshidi

    Increased patient satisfaction can promote patient’s compliance with prescribed treatments and improve patients’ health. The aim of this study was to determine the patients’ satisfaction with nurses in surgical departments of Imam, Razi, and Golestan hospitals of Ahvaz city in 2018. In this descriptive-analytic study, patients over 18 years of age with at least 3 days of hospitalization were studied. Data including age, sex, marriage status, level of education, type of illness, hospitalization time, number of hospital admissions, and health status were collected through a demographic form. Patients’ satisfaction with nurses was obtained by the satisfaction questionnaire of nursing services. Chi-square, one-way analysis of variance, Kruskal-Wallis analysis, Mann-Whitney test, and Spearman correlation coefficient were used to analyze by SPSS software. Patients’ satisfaction in Imam, Razi and Golestan hospitals were 78.25±12.09, 68.30±11.24, and 58.09±17.42, respectively. Highest level of patients’ satisfaction was with Razi hospital nurses (P-value<0.05).There were no significant difference between patients of different hospitals regarding age, marriage status, place of residence, hospitalization history, and education level (P-value>0.05).With increasing age, having a history of admission, an increase in the duration of hospitalization, the patients’ satisfaction score decreased significantly (P-value<0.05), but there was no significant difference between the patients’ satisfaction by marriage status, place of residence and level of education (P-value>0.05). It is suggested that effective strategies for increasing patients’ satisfaction be applied through more care and attention of more sensitive people. Also, increasing awareness of  the community about the duties of patients, nurses, and medical staff is recommended.

    Keywords: Surgical department, Nurse, Patients’ satisfaction}
  • Aslan Ahmadi, Farzad Izadi, Afsaneh Montazemi *, Taraneh Montazemi
    Background
    This study aimed to assess differences in the quality of voice results of open frontolateral partial laryngectomy with imbrications laryngoplasty and transoral laser microsurgery in T1b glottic carcinoma.
    Methods
    In this randomized clinical trial, 20 patients with T1b glottic cancer who were candidates for surgery were randomly (using the blocked randomization method) assigned to schedule for frontolateral partial laryngectomy with imbrications laryngoplasty (n = 7) or transoral laser microsurgery (Va extended cordectomy) (n = 10). The objective and subjective voice results were assessed using voice analysis parameters (jitter, shimmer, harmonics to noise ratio, and maximum phonation time). The Voice Handicap Index (VHI) questionnaire was used with 30 statements consisting of three domains including functional, physical, and emotional aspects of voice disorders.
    Results
    No statistically significant differences were noted between laser surgery and open procedure in objective voice analysis parameters. The voice was significantly disturbed after both procedures but subjective analysis of the voice by the VHI questionnaire showed more statistically significant patients’ satisfaction in the laser group. The mean VHI was 77.29 ± 8.51 after vertical hemilaryngectomy and 65.60 ± 13.08 after laser cordectomy that was significantly lower in the latter procedure (P = 0.042).
    Conclusions
    Despite the imbrications of laryngoplasty in open surgery, no statistically significant differences were noted in objective voice parameters. However, more patients’ satisfaction was noted regarding voice in laser surgery. When considering modality, we need to assess factors such as individual anatomic factors, complete tumor exposure (depth of tumor in anterior commissure), professional needs, quality of life, and cost-effectiveness. With regard to the semi-invasive nature of laser use and more patients’ satisfaction based on the VHI questionnaire, this method is prioritized in comparison with the surgical procedure as vertical hemilaryngectomy.
    Keywords: Cancer, Partial Laryngectomy, Transoral Laser Microsurgery, Patients’ Satisfaction}
  • Reza Haji Ali Beigloo, Samira Mohajer, Ali Eshraghi, Seyed Reza Mazlom *
    Background
    Self-efficacy of medication use and pharmaceutical knowledge are important factors for medical treatment completion.
    Aim
    This study aimed to determine the effect of self-administration of medication program on pharmaceutical knowledge and satisfaction of patients with cardiovascular diseases.
    Methods
    This randomized clinical trial was conducted on 60 patients with cardiovascular diseases (CVD) in Imam Reza hospital in Mashhad during 2018. Self-efficacy was examined using the standard scale of self-efficacy for appropriate medication use. Moreover, pharmaceutical knowledge was examined using the standard scale for the measurement of patients’ knowledge level before and after the intervention. Patients’ satisfaction with the medication use manner was also evaluated at the time of discharge from the hospital. Data were analyzed in SPSS software (Version 20).
    Results
    According to the results, the mean ages of patients in the intervention and control groups were 40.9±8.6 and 44.4±8.5, respectively. In the pre-test, the self-efficacy and pharmaceutical knowledge scores obtained from independent t-tests and Mann-Whitney U test were homogeneous. However, self-efficacy scores in the post-test were 32.0±3.3 and 24.7±3.1 in the intervention and control groups, respectively. The mean satisfaction of patients with medication use manner was significantly higher in the intervention than that in the control group (P<0.001). Implications for Practice: The self-administration of medication program in qualified patients with CVD can improve medication use and pharmaceutical knowledge. Therefore, the application of these programs is suggested improving medication compliance.
    Keywords: Patients’ pharmaceutical knowledge, Patients with cardiovascular diseases, Patients’ satisfaction, Self-administration of medication program}
  • Hamid Ravaghi, Morteza Salemi, *, Masoud Behzadifar, Masood Taheri Mirghaed, Meysam Behzadifar, Zeynab Farhadi
    Context: Emergency department is the first place in the hospital that patients refer to receive services, and patients often experience an emergency referral in their lives. Emergency care and paraclinical services are provided to patients in this department. The current study aimed at evaluating the patients’ satisfaction with emergency department in Iran through a systematic review and meta-analysis. Evidence Acquisition: The databases including Web of Science (WOS), Embase, PubMed, Scopus, Ovid, as well as the Iranian databases such as Irandoc and Magiran in the Persian and English languages were searched from 2000 to 2017. The STROBE (strengthening the reporting of observational studies in epidemiology) checklist was used to assess the quality of the research methodologies. The random model was used to determine the mean value of satisfaction and the results were reported with the confidence interval (CI) of 95%. Also, sensitivity analysis, subgroup and meta-regression were conducted. The Egger test was used to investigate the publication bias in the studies.
    Results
    Based on the random model, the mean of satisfaction with emergency services in Iran was 70.52% (95% CI: 63.81 - 77.23). The results of sensitivity analysis showed no change before and after the analysis of the results. Highest and lowest rates of patient satisfaction were reported in the Eastern (79.17%) and Northern regions (67.15%) of Iran, respectively.
    Conclusions
    The current study findings showed that patients’ satisfaction with emergency services in Iran was high compared with the neighboring countries. Health policymakers should increase patients’ satisfaction through appropriate training, information, and increased human resources
    Keywords: Patients’ Satisfaction, Emergency, Iran, Meta-analysis, Systematic Review}
  • Yaser Sarikhani, Seyed Taghi Heydari *, Shafaq Razmjou, Sousan Zare
    Background
    Healthcare systems have an intrinsic responsibility to meet medial and non-medical expectations of people.
    Objectives
    The aim of this study was to investigate the Iranian health system responsiveness in the city of Jahrom.
    Methods
    This study comprised of 600 patients from 6 health centers in Jahrom County. Data were gathered via a standard self-report questionnaire. Logistic regression analysis was used to evaluate data.
    Results
    Responsiveness of Jahrom health system was reported to be higher than average (3.32 ± 0.41). Being female, being from low income families, and patients on inpatient services were factors directly associated with higher rate of good responsiveness (P
    Conclusions
    The Iranian health evolution plan is expected to have potential to promote responsiveness and quality of healthcare services, an area deserving more investigations.
    Keywords: Healthcare System, Responsiveness, Patients Satisfaction, Health Transformation Plan}
  • ترانه درمحمدی طوسی *، علی خلوت، سید رضا نجفی زاده، فاطمه شهبازی، زهرا خزاعی پور
    مقدمه
    این مطالعه با هدف بررسی تاثیر شرایط آموزش کارورزان پزشکی در درمانگاه های داخلی برروی میزان رضایت مندی بیماران انجام شده است.
    روش بررسی
    این مطالعه مقطعی-توصیفی می باشد که تعداد 200 نفر از بیماران سرپایی مراجعه کننده به کلینیک داخلی بیمارستان امام خمینی تهران به صورت نمونه گیری انتخاب شدند و به دو گروه ویزیت مستقیم توسط پزشک متخصص و ویزیت ابتدا توسط کارورز و سپس پزشک متخصص تقسیم شدند. از پرسشنامه محقق ساخته که پایایی و روایی آن تایید شده بود، جهت بررسی میزان رضایتمندی بیماران استفاده شد. داده ها با آزمون t مستقل و T-test زوج (مقایسه قبل و بعد در یک گروه) آنالیز شدند.
    نتایج
    نتایج نشان داد که بیماران از حضور، معاینه و عملکرد کارورزان پزشکی در درمانگاه ها راضی هستند و بر معاینه توسط پزشک به تنهایی ترجیح می دهند (55/13t= و 001/0>p). از لحاظ آماری از بین ابعاد رضایتمندی بیمار (رعایت ادب) (99/1t= و05/0p<) در بین بیمارانی که توسط پزشک ویزیت شدند به طور معناداری بیشتر از بیمارانی است که توسط کارورز و سپس پزشک ویزیت شدند.
    نتیجه گیری
    آموزش کارورزان پزشکی در درمانگاه های داخلی بیمارستان ها می تواند راهبرد موثری بر میزان رضایتمندی بیماران از درمان باشد.
    کلید واژگان: آموزش درمانگاهی, کارورزان پزشکی, رضایتمندی بیماران}
    T. Dormohammadi Toosi *, A. Khalvat, Sr Najafizadeh, F. Shahbazi, Z. Khazaeipour
    Introduction
    The aim of this study was to investigate the effect of Medical Student Training on patients satisfaction referred to the internal medicine clinics.
    Methods
    This is a cross sectional descriptive study. 200 outpatients referred to the internal medicine clinic Imam Khomeini Hospital were selected by convenient sampling. The participants were divided into two groups. The group which firstly visited by a specialist and the group which firstly visited by intern and then a specialist. In this study, researcher made questionnaire was used for measuring the patient satisfaction. Data were analyzed by using one-sample t-test, independent t-test and pair-t test.
    Results
    The finding showed that patients are satisfied of the presence and performance of medical interns in clinics and they preferred to be visited by intern and a specialist rather than only by a specialist (p
    Conclusion
    It can be concluded that the training medical students in internal medicine clinic of hospitals can be an effective strategy for the rate of satisfaction level of patients from their treatment.
    Keywords: Clinical Training, Medical Interns, Patients Satisfaction}
  • سجاد احمدی، غلامرضا فریداعلایی، سیدحسام رحمانی *، فرید تقوی
    پیش زمینه و هدف
    رضایت بیمار در فرآیند مراقبت بهداشتی درمانی نقش مهمی را ایفا می کند. تردیدی نیست که میزان رضایت بیمار منعکس کننده قابلیت و توانایی پزشک و کارکنان درمان یا کیفیت درمان است. ارزیابی رضایت بیمار به دریافت موارد نارسا و یافتن تدابیر لازم و انجام اقدامات ضروری برای حل مشکلات موجود می انجامد که ارتقا سطح مراقبت را به طور دائم امکان پذیر می سازد. این مطالعه میزان رضایت مندی بیماران از اورژانس بیمارستان امام خمینی (ره) ارومیه را بررسی نموده است.
    مواد و روش ها
    این مطالعه توصیفی-مقطعی در بهار 1393 در بخش اورژانس بیمارستان امام خمینی (ره) ارومیه انجام شد.500 نفر از افرادی که به علل مختلف نیاز به خدمات درمانی اورژانسی داشتند و به این بخش مراجعه کرده بودند از طریق پرسشنامه موردبررسی قرار گرفتند. نتایج به صورت آمار توصیفی ارائه شدند و از طریق نرم افزار آماری 18spss- مورد آنالیز قرار گرفت.
    یافته ها
    یافته ها نشان داد که بیش ترین درصد رضایت به ترتیب مربوط به نحوه برخورد پزشک (81 درصد)، موجود بودن دارو و تجهیزات پزشکی (6/78 درصد) و سرعت حضور پزشک بر بالین در بدو ورود به اورژانس (4/69 درصد) و کمترین درصد رضایت مربوط به مکان جهت انتظار و نشستن در محوطه اورژانس (50 درصد)، حضور به موقع بیماربر (4/24 درصد) و پذیرش سریع و به موقع در اورژانس (4/17 درصد) بود.
    بحث و نتیجه گیری
    یافته های مطالعه حاضر نشان دهنده لزوم توجه بیشتر به فضای فیزیکی و امکانات رفاهی، جذب و تامین نیروی انسانی موردنیاز، تامین امکانات جانبی و کاهش زمان انتظار پذیرش در بخش اورژانس را آشکار می سازد.
    کلید واژگان: رضایت بیماران, بخش اورژانس, ارومیه}
    Sajjad Ahmadi, Gholamreza Faridaalaee, Seyed Hesasajjad Ahmadim Rahmani *, Farid Taghavi
    Background and Aims
    Patient satisfaction plays an important role in healthcare process and certainly reflects the quality of care. Evaluation of patients’ satisfaction helps discover problems and perform necessary measures to improve this quality. The objective of this study was to determine the rate of satisfaction of the emergency patients in Imam Khomeini Hospital at Urmia.
    Material and Methods
    This cross-sectional research was conducted on 500 patients admitted in the emergency ward of Imam Khomeini hospital of Urmia. The data were gathered by a questionnaire and were analyzed by SPSS-18 software.
    Results
    The findings showed that the highest percentage of satisfaction was related to physician behaviors (81%)، availability of medicines and medical equipment (78. 6%) and attending physician’s availability and late arrival at the emergency ward (69. 4%). The lowest satisfaction was related to the furniture in the waiting area of ​​the emergency ward (50%)، on-time presence of patient transporter (24. 4%) and the rapid and on-time acceptance (17. 4%).
    Conclusion
    The findings of this study indicated that closer attention must be paid to the physical space and emergency facilities، recruitment and manpower supply، ancillary facilities and also more attempt is needed to reduce the waiting time for acceptance in the emergency ward.
    Keywords: Patients satisfaction, Emergency ward, Urmia}
  • فرشته فرزیان پور، امیر حسین اسکندری، صدف علیپور، اصلان نظری، لیلا گودرزی*
    مقدمه
    قدرت برقراری ارتباط با بیمار یکی از ضروریات حرفه پرستاری و پزشکی بوده که به استناد آن مشکلات بیماران تعیین و به استناد آن برنامه ریزی مراقبتی درمانی تنظیم می گردد. مدیریت ارتباط با بیمار یک نگرش همراه با تغییر استراتژیک فرایندی سازمانی و تکنیکی است که به واسطه آن یک سازمان درمانی می کوشد کسب و کارش را حول رفتار رضایت بیماران به صورت بهتری مدیریت کند.
    مواد و روش ها
    این پژوهش یک مطالعه توصیفی - تحلیلی است که به روش مقطعی انجام شده است. جامعه مورد پژوهش شامل بیماران در حال ترخیص در بیمارستان های آموزشی- درمانی با دوره بستری 15 روزه بوده است که به هنگام ترخیص مورد مصاحبه و پرسشگری قرار گرفته اند.حجم نمونه با استفاده از روابط نمونه گیری تصادفی 100 بیمار انتخاب شد.
    یافته ها
    روش گرد آوری داده ها استفاده از پرسشنامه معتبر بوده که توسط اساتید مدیریت مورد تائید قرار گرفت، که با استفاده از ضریب آلفای کرونباخ و روش Test-Retest پایایی پرسشنامه به اندازه82% محاسبه شد. برای تعیین رابطه بین هر متغیر و وضعیت رضایت بیماران از تست های آماری فیشر و آزمون t استفاده شد.رضایت بیماران از خدمات بیمارستانی شامل خدمات پزشکی، پرستاری، پاراکلینیک، محیط و خدمات بخش ها و ترخیص در حالت کلی به ترتیب کاملا راضی، راضی، تاحدی راضی، ناراضی و کاملا ناراضی به میزان 2 /13، 45، 1/ 20، 6/ 7 و 8/ 2 بوده است.همچنین مشاهده گردیدکه رابطه آماری معنا داری بین سن بیماران و میزان رضایت آنان از خدمات پرسنل پرستاری (012/ 0= p) و پرسنل محیط و خدمات بخش ها (p = 0.009) وجود دارد.
    نتیجه گیری
    به منظور افزایش میزان رضایت بیماران از خدمات بیمارستانی، لازم است که خدمات بیمارستانی را بهبود و ارتقا داد. همچنین استفاده از مدلی بر پایه مدیریت ارتباط با بیماران به منظور افزایش میزان رضایت بیماران در بیمارستان های آموزشی ضروری به نظر می آید.
    کلید واژگان: بیمارستان, مدیریت ارتباط با بیماران, رضایت بیماران}
    Farzianpoor F., Eskandari A., Alipour S., Nazari A., Goudarzi L.*
    Background
    Communication with patients has a vital role in nursing and medical profession that health care planning is depending on it. Patient relationship management is an approach with a view of organizational and strategic change process which an organization attempt to achieve patients satisfaction.
    Aims
    This study was performed to evaluate patients’ satisfaction with hospital staff’ manners with them in Sina hospital affiliated by Tehran university of medical science in year 2010.
    Materials and Methods
    In this analytical-descriptive cross-sectional study a sample of 100 patients were selected through simple random method that consisted of the patients being discharged from Sina hospital during a 15-day period. The patients were interviewed at discharge time. The data were gathered using a valid questionnaire which was approved by the experts in this field by 57 questions. SPSS 19 software is used for statistical analysis of data’s.
    Results
    To determine the association between each variable and satisfaction status Fisher test and T test analyses were carried out. patients’ satisfaction with hospital services concerning medical، nursing، paraclinical and discharge services، selection and Patients’ general satisfaction with hospital services were in general، 13. 2، 45، 20. 1، 7. 6 and 2. 8 % were quiet satisfied، satisfied، rather satisfied and quiet dissatisfied respectively. The results showed that there was a significant statistical relation between the age of the patients and the degree of their satisfaction with the nursing staff treatment (p = 0. 012) and that of service staff (p = 0. 009).
    Conclusion
    In order to increase patient satisfaction with hospital services، should improve hospital services. Also، using a model based on patient relationship management، in order to increase patient satisfaction seems to be essential in hospitals
    Keywords: Hospital, Customer Relationship Management, Patients Satisfaction}
  • سید حسین طباطبایی، محمدحسن لطفی*، سیروس یارمند، علی فتوحی، علی مطهری، مرضیه مومنی سروستانی، مینو نبیئیان
    مقدمه
    برای ارزیابی خدمات بهداشتی و درمانی، دستیابی و توجه به نقطه نظر بیماران ضروری است. هدف از مطالعه حاضر، بررسی رضایتمندی گیرندگان خدمت ازکلینیک تخصصی دندانپزشکی خاتم الانبیاء وابسته به دانشگاه علوم پزشکی یزد و برخی عوامل مرتبط با آن بود.
    روش بررسی
    این مطالعه یک مطالعه توصیفی –مقطعی بود که بر روی 1380 نفر ازگیرندگان خدمات دندانپزشکی از کلینیک دندانپزشکی خاتم الانبیا که بصورت اتفاقی انتخاب شده بودند با روش مصاحبه تلفنی انجام شد. پرسشنامه شامل: سوالاتی درباره مشخصات فردی و برخی دیدگاه های بیماران در مورد دندانپزشکی، عوامل مربوط به کلینیک، درمان انجام شده، درمانگر و کادر درمانی بود. یافته ها با استفاده از نرم افزار SPSS مورد تحلیل قرار گرفت.
    یافته ها
    میانگین و انحراف معیار نمره رضایتمندی بیماران در این مطالعه 0/2±3 از 4 بود. بالاترین رضایتمندی از نصب تابلوهای راهنما(99/6%) و رعایت بهداشت و کنترل عفونت(99/5%) و بیشترین نارضایتی از وضعیت پارکینگ(96%) و هزینه درمان (21/1%) عنوان شد.90/2% از افراد مورد بررسی اظهار نمودند که درصورت نیاز به درمان در آینده، مجددا به این مرکز مراجعه خواهند نمود.
    نتیجه گیری
    رضایتمندی مراجعین به کلینیک تقریبا کامل بود.نارضایتی در رابطه با پارکینگ و نیز بالا بودن تعرفه برخی درمانها از دیدگاه بعضی از بیماران، با توجه مسئولین مربوطه در دانشگاه و استان وفعالیت بیشتر سازمان های بیمه گر در زمینه خدمات دندانپزشکی قابل اصلاح می باشد.
    کلید واژگان: رضایتمندی بیمار, خدمات دندانپزشکی, کلینیک تخصصی, یزد}
    Sh Tabatabaei, Mh Lotfi *, S. Yarman, A. Fotoohi, A. Motahari, M. Momenisarvestani, M. Nabieian
    Introduction
    Considering patient's opinion is essential for the assessment of health care services. The aim of the present study was to survey patient's satisfaction with the services at Khatamolanbia Dental Clinic affiliated to Yazd University of Medical Sciences.
    Methods
    This descriptive and cross-sectional study was carried out on 1380 randomly-selected patients who had referred to Khatamolanbia Dental Clinic. Data were gathered using phone interview and questionnaire. The questionnaire included some questions about demographic characteristics and viewpoints of the patients about dentistry, clinic, received treatment, dentist and clinical team. Data analysis were conducted using SPSS software.
    Results
    The total mean score of the patient's satisfaction was 3 ± 0.02 out of 4. The highest level of satisfaction was related to guiding signs (99.6%) and hygiene and infection control (99.5%). The highest level of dissatisfaction was related to parking situation (90%) and treatment cost (21%). Totally, 90.2% of the subjects asserted they will choose this clinic again if they require treatment in the future.
    Conclusion
    The patient's satisfaction was almost complete. Dissatisfaction about parking and high costs of some treatments are amendable regarding related authorities at University and the province and better contribution of insurers to dental services.
    Keywords: Patients\ satisfaction, Dental services, Dental clinic, Yazd}
  • علی اسماعیلی وردنجانی، حسین رفیعی، جعفر مقدسی، رضا مسعودی، مصطفی محمدی، هدایت الله للگانی، محمود اسماعیلی وردنجانی
    زمینه
    خدمات ارائه شده به بیماران اورژانس پیش بیمارستانی و میزان رضایت مندی آنها، موید کیفیت خدمات اورژانس پیش بیمارستانی است. هدف از این مطالعه بررسی میزان رضایت مندی بیماران از خدمات اورژانس پیش بیمارستانی (115) شهر شهرکرد در نیمه اول سال 1391 می باشد.
    روش ها
    در پژوهش توصیفی حاضر450 نفر از بیماران منتقل شده توسط اورژانس پیش بیمارستانی به بیمارستان با استفاده از نمونه گیری تصادفی ساده انتخاب و داده ها با استفاده از پرسشنامه سنجش میزان رضایت مندی جمع آوری شدند. اطلاعات بدست آمده تحت نرم افزار SPSS نسخه 16 با استفاده از آزمون های آماری توصیفی، تی مستقل، آنالیز واریانس یکطرفه و همبستگی پیرسون مورد تجزیه و تحلیل قرار گرفتند.
    یافته ها
    میزان رضایتمندی در تمامی حیطه ها بالاتر از 50% و به طور کلی 12/71% بود. میزان رضایتمندی از خدمات اورژانس پیش بیمارستانی در مردان، افراد با سطح تحصیلات پایین، متاهلین، افراد دارای سابقه استفاده از خدمات اورژانس و افراد دارای مشکل اورژانسی به طور معنی داری بیشتر از سایر بیماران بود. بیشترین میزان رضایت مندی مربوط به حیطه کارایی اورژانس پیش بیمارستانی (5/78%) و کمترین میزان رضایت مندی در سوالات مربوط به حیطه عملکرد تکنسین ها (7/58%) بود.
    بحث: نتایج این مطالعه نشان داد میزان رضایت مندی بیماران در حیطه های مختلف بالا و رضایت بخش بوده و به منظور ارتقاء آن تکنسین ها باید زمان بیشتری را جهت تعامل با بیماران در نظر بگیرند.
    کلید واژگان: رضایت مندی بیماران, اورژانس, پیش بیمارستانی, خدمات پزشکی اورژانسی}
    Ali Esmaeili Vardanjani, Jafar Moghaddasi*‎, Hossein Rafiei‎, Reza Masoudi, Mostafa Mohammadi, Hedayatollah‏ Lalegani, Mahmoud Esmaeili‏ ‏Vardanjani‎
    Background
    Provided services for patients in pre-hospital emergency setting and their satisfaction from this services showed quality of pre-hospital emergency services. The main aim of present study was to examine level of patient's satisfaction from pre-hospital Emergency Medical Services (EMS) in ShahreKord city in 2012.
    Methods
    In this descriptive study 450 patients that transported to the hospitals by EMS were selected with the using simple random sampling. Data were collected by using of satisfaction questionnaire. Data were analyzed in SPSS 15 software, with using descriptive statistical tests, independent t test, one way ANOVA and Pearson correlation test.
    Results
    Satisfaction levels in all domains were higher than 50%, and in total were 71.1 percent. Results showed that patients satisfaction from EMS services in men, patients with low educational level, married, patients with a history of emergency services and urgent problem, were significantly higher than the others patients. Maximum and minimum level of satisfaction was related to efficiency of emergency domain with78.5% and functional domain with 58.7% respectively.
    Conclusions
    Results of present study showed that level of patient’s satisfaction in various areas was in good level and for increase the patients’ satisfaction, EMS technicians should pay more time with their patients.
    Keywords: Patients satisfaction, Pre hospital, Emergency medical service}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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