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Patient satisfaction with burn care 1-6 years after injury
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Plastikkirurgi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Psykiatri, Akademiska sjukhuset.
2008 (Engelska)Ingår i: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 34, nr 6, s. 783-790Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Patient satisfaction is an important outcome in health care but has not been studied in relation to burn care. The aim was to explore factors related to satisfaction with care 1-6 years after a burn. Participants were 86 adult burn patients, injured on average 3.6 years previously. The Patient Satisfaction-Results and Quality (PS-RESKVA) was used to assess satisfaction. It has four subscales: Quality of contact with the nursing staff (QCN), Quality of contact with the medical staff (QCM), Adequate treatment information (INF) and Global satisfaction with treatment (GS). Further, data were gathered regarding personality traits and health. Average scores for QCN were significantly higher than scores for the other subscales, and INF received the lowest mean score. In multiple regressions, the PS-RESKVA subscales were associated with better interpersonal relationships (all PS-RESKVA subscales), more sensation seeking (QCM, INF, and GS) and less aggressiveness (QCM and GS). Other variables contributed to a lesser degree. Total amount of explained variance ranged between 18% and 25% for the PS-RESKVA subscales. In summary, satisfaction with burn care was only moderately explained by health and personality characteristics. Further, former patients rated satisfaction with nursing staff higher than other aspects of care, especially information routines.

Ort, förlag, år, upplaga, sidor
2008. Vol. 34, nr 6, s. 783-790
Nyckelord [en]
Burns, Information, Nursing, Outcome, Patient satisfaction, Quality
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:uu:diva-97496DOI: 10.1016/j.burns.2007.11.001ISI: 000259017200005PubMedID: 18378086OAI: oai:DiVA.org:uu-97496DiVA, id: diva2:172469
Tillgänglig från: 2008-09-11 Skapad: 2008-09-11 Senast uppdaterad: 2017-12-14Bibliografiskt granskad
Ingår i avhandling
1. Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
Öppna denna publikation i ny flik eller fönster >>Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
2008 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R2 was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R2 was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

Ort, förlag, år, upplaga, sidor
Uppsala: Universitetsbiblioteket, 2008. s. 50
Serie
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 373
Nyckelord
Burns, health status, care utilisation, rehabilitation, personality traits, care experiences, patient satisfaction
Nationell ämneskategori
Kirurgi
Identifikatorer
urn:nbn:se:uu:diva-9262 (URN)978-91-554-7271-9 (ISBN)
Disputation
2008-10-03, Enghoffsalen, ing. 50, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Handledare
Tillgänglig från: 2008-09-11 Skapad: 2008-09-11 Senast uppdaterad: 2012-03-01Bibliografiskt granskad

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Wikehult, BjörnKildal, MortenWillebrand, Mimmie

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