| Objective Through the practice investigation of the patient's hospitalization experience,we found the defects of the hospital's service quality and looked for important measures to improve the service quality.Promote the overall change of hospitals,patients,medical services,improve hospital service management awareness and problem improvement,and also make medical decisions for patients,so that patients can more objectively choose hospitals and treatment departments for treatment,so that hospitals,doctors and patients Produce closer interaction.Methods In this study,730 patients and 750 inpatients were selected from a third-grade hospital in Xi'an from April to June 2018 and from October to December 2018.Using stratified plus systematic sampling methods,730 inpatients were selected from 04-06 months.For the control group,after the medical service improvement measures,750 inpatients selected from October to December were used as the experimental group,and the PPE-15(Picker patient experience-15)scale was used for evaluation.All the subjects were informed of the research purpose.And signed a written informed consent form to conduct a questionnaire survey in an interview.Using Kolmogorov-Smirnov tests,t test,variance analysis,Mann-Whitney U test,Pearson or Spearman test for correlation analysis,logistic regression analysis for statistical analysis.Results1.After training doctors and nursing staff,learn the skills of communication with patients,master the communication methods from shallow to deep,and improve the communication with plain language.The experimental group(3.33±0.74)had a statistically significant difference(P<0.05)in the understanding of the patient's response to the nurse compared with the control group(3.07±0.77).2.After introducing the hospital to the patient,it is psychologically prepared,and the patient's family is comforted.The nursing staff is required to stand on the patient's position and consider the problem.The experimental group(3.22±0.73)doctors pay attention to the patient compared with the control group(3.04).±0.76)was elevated,and there was a statistically significant difference(P<0.05).In the experimental group(3.35±0.66),the doctors informed that the discussion was higher than the control group(3.13±0.77),andthere was a statistically significant difference(P<0.05).In the experimental group(3.35±0.66),the nurses informed that the discussion was higher than the control group(3.10±0.75),and there was a statistically significant difference(P<0.05).3.After the patient can seek medical advice at any time,the medical staff has respect for the patient's awareness,the doctor should fully explain the patient's diagnosis and treatment,the hospital should pay attention to protect the patient's privacy and other improved methods,in the experimental group(3.26 ± 0.70)participation in treatment decisions compared with the control group(3.13±0.72)increased,there was a statistically significant difference(P<0.05).4.After the medical staff pays attention to the family members or friends,the patients and relatives organize psychological training courses and conduct individual missions.The experimental group(3.20±0.72)communicates with the doctors and doctors compared with the control group(3.08±0.75).There was a statistically significant difference(P <0.05).5.After the management improvement measures such as patient information continuity,management continuity,and elastic continuity,the experimental group(3.31±0.65)explained that the drug use was higher than the control group(3.22±0.74),and there was statistically significant difference(P <0.05).In the experimental group(3.31±0.65),the side effects of the drug were significantly higher than those in the control group(3.17±0.74),and there was a statistically significant difference(P<0.05).6.There was no statistically significant difference in the overall evaluation of the experience of the experimental group and the control group(P>0.05).In terms of the possibility of re-diagnosis,the experimental group(3.33±0.58)was statistically higher than the control group(3.24±0.62).Significant difference(P<0.05).7.Comparing the internals of the experimental group,there was a statistically significant difference between the male(3.15±0.76)and female(3.33±0.69)scores among the doctors concerned(P<0.05),and the males in the decision-making decision(3.18±0.74),There was a statistically significant difference between the and female(3.33±0.64)scores(P<0.05),and there was no statistically significant difference in other dimensions(P>0.05).There was no statistically significant difference in male and female levels in the overall evaluation of the experience of the visit and the likelihood of re-visiting(P>0.05).8.There was a positive correlation between the overall experience of patients and the understanding of doctors' responses(r=0.086,P=0.019);there was a positive correlation between the overall experience of patients and the disease signals after discharge(r=0.262,P=0.000).There was a positive correlation between the overall experience of the patient visit and the likelihood of re-visiting(r=0.247,P=0.000).9.Inpatients with high signal of disease after discharge from the experimental group had lower signal of disease than patients with low signal of disease after discharge,those with a higher probability of re-visit than those with a lower probability of re-visit,and Those with a higher understanding of doctor' answers had a lower understanding of doctor'answers.The patient experience satisfaction was high.Conclusion1.Experience evaluation of inpatients provides a certain direction for improve the quality of medical service.Measures to improve the quality of medical care learning medical service can improve the experience evaluation of inpatients.2.There is a positive correlation between inpatient experience and information transmission,patient education,medical service continuity and excess,and the probability of re-visit.3.Patients with high disease signal score after discharge,hospitalized patients with a higher probability of re-visit,and hospitalized patientsa higher understanding of doctor'answers have high satisfaction. |
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