摘要
目的:了解安徽省某三甲医院患者对无痛胃镜的选择意愿及其影响因素,从而加强宣传,普及人们对无痛胃镜的认识和利用。方法:采用便利抽样法对安徽省某三甲医院255名消化内科门诊患者进行问卷调查,调查的内容包括患者的性别、年龄、居住地、学历、职业、个人年收入、医疗费用支付方式以及患者对无痛胃镜的了解程度、了解无痛胃镜的途径、胃镜检查次数、胃镜选择意向,以及选择或未选择无痛胃镜的原因。结果:本次调查中,患者对常规胃镜和无痛胃镜的选择人数分别为116人(45.5%)和139人(54.5%)。其中,男性158名(62.0%),女性97名(38.0%)。在患者对无痛胃镜了解程度的调查中,知道无痛胃镜优势及可能风险的有40人(15.7%);仅大致听说过的有148人(58.0%),没有听说过的有67人(26.3%);无胃镜检查史的有67人(26.3%),有胃镜检查史的有188人(73.7%)。卡方检验得出患者对无痛胃镜的选择意愿与患者的学历(χ^(2)=6.87,P=0.03)、职业(χ^(2)=11.67,P=0.01)和患者对无痛胃镜了解程度(χ^(2)=9.41,P<0.01)有关。患者了解无痛胃镜的途径主要为网络的88人(29.0%),家人朋友告知的114人(37.6%),就诊时医务人员介绍推荐的55人(18.2%)。患者未选择无痛胃镜的主要原因为担心麻醉不良反应或麻醉不合格(33.1%)以及价格较高(31.2%)。患者选择无痛胃镜的四个主要原因是效果好(34.1%),家人、朋友的建议(23.9%),害怕疼痛(22.7%),医务人员推荐(16.7%)。有检查史的患者共188人,在初次选择常规胃镜的133名患者中,有71人在二次选择中选择了无痛胃镜,占比53.4%。患者由常规胃镜改选无痛胃镜的原因主要有三点:一是初次体验不好;二是受亲友影响;三是医务人员建议。而在51名初次选择无痛胃镜的患者中,有18名患者在二次选择意愿中改选了常规胃镜,占比54.9%。结论:患者对无痛胃镜的了解程度较浅,对无痛胃镜的选择倾向
Objective:To investigate the patients'preference for painless gastroscope and its influencing factors in a tertiary hospital in Anhui Province,so as to strengthen publicity and popularize the understanding and utilization of painless gastroscopy.Methods:The convenience sampling method was used to conduct a questionnaire survey among 255 outpatients in gastroenterology department in a tertiary hospital hospital in Anhui Province.The contents of the survey included patient's gender,age,place of residence,education,occupation,personal annual income,payment method of medical expenses,and the patient's understanding of painless gastroscopy,the way to understand painless gastroscopy,the number of gastroscopy examinations,the intention of gastroscopy selection,and the reasons for choosing or not choosing painless gastroscopy.Results:In this survey,116 patients(45.5%)chose conventional gastroscope and 139 patients(54.5%)chose painless gastroscope.Among them,158(62.0%)were males and 97(38.0%)were females.In the survey,only 40 patients(15.7%)knew about the advantages and possible risks of painless gastroscopy,148(58.0%)had heard about it,and 67(26.3%)had never heard about it.Among the respondents,67(26.3%)had no history of gastroscopy,and 188(73.7%)had history of gastroscopy.χ^(2) test showed that the patients’willingness to choose painless gastroscope was related to their educational background(χ^(2)=6.87,P=0.03),occupation(χ^(2)=11.67,P=0.01)and the patients’knowledge of painless gastroscope(χ^(2)=9.41,P<0.01).Of 88 patients(29.0%)knew painless gastroscopy by internet,114 patients(37.6%)by family and friends,and 55 patients(18.2%)by medical staff.The main reasons for patients not choosing painless gastroscopy were worrying about adverse reactions or unqualified anesthesia(33.1%)and high price(31.2%).The four main reasons for patients to choose painless gastroscopy were good effect(34.1%),family and friends’suggestions(23.9%),fear of pain(22.7%),and medical staff’s recommendation(16.7%).A total of 188 patients
作者
凌玉环
王珩
LING Yuhuan;WANG Heng(School of Health Management,Anhui Medical University,Hefei 230032,China;The First Affiliated Hospital of Anhui Medical University)
出处
《包头医学院学报》
CAS
2022年第1期1-5,30,共6页
Journal of Baotou Medical College
基金
基于RBRVS的县级公立医院医生绩效薪酬分配机制研究(71774001)。
关键词
常规胃镜
无痛胃镜
选择意愿
影响因素
Conventional Gastroscope
Painless Gastroscope
Selection Willingness
Influencing Factor
