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Prediction of patient satisfaction with care one year after burn
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
2009 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 35, no 2, 194-200 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this prospective study was to find predictors of patient satisfaction with burn care. Sixty-nine consecutive adult patients undergoing acute treatment in a Burn Unit completed the following questionnaires: the Swedish universities Scales of Personality, the Impact of Event Scale-Revised, and the Hospital Anxiety and Depression Scale. Socio-demographic data and burn severity were registered. One year later they completed the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire containing four subscales: quality of contact with nursing staff (QCN), quality of contact with medical staff (QCM), adequate treatment information (INF), and global satisfaction with treatment (GS). Each subscale was treated as a dependent variable in separate multiple regression models. Overall, the explained variance was low to moderate (range adjusted R2 = 0.06-0.19). Variables remaining in the models were: intrusive symptoms, and the personality trait stress susceptibility for QCN; age, education, and symptoms of hyperarousal for QCM; trait irritability for INF; and age and the personality traits detachment and social desirability for GS. In conclusion, psychological and socio-demographic variables predicted satisfaction to some degree, whereas injury severity did not. The low amount of explained variance suggests that other factors, hypothetically related to care itself, determine patient satisfaction as assessed by the PS-RESKVA.

Place, publisher, year, edition, pages
2009. Vol. 35, no 2, 194-200 p.
Keyword [en]
Interpersonal, Nursing, Patient satisfaction, Personality traits, Quality
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-97497DOI: 10.1016/j.burns.2008.09.001ISI: 000263703700003PubMedID: 19070969OAI: oai:DiVA.org:uu-97497DiVA: diva2:172470
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
Open this publication in new window or tab >>Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2008. 50 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 373
Keyword
Burns, health status, care utilisation, rehabilitation, personality traits, care experiences, patient satisfaction
National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-9262 (URN)978-91-554-7271-9 (ISBN)
Public defence
2008-10-03, Enghoffsalen, ing. 50, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Supervisors
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2012-03-01Bibliographically approved

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Wikehult, BjörnGerdin, BengtWillebrand, Mimmie

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