Przeglądanie według Temat "patient satisfaction"

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Implications of labor analgesia on labor outcomes – a systematic review
(Rzeszów University Press, 2025-06) Tehalia, Manpreet Kaur; Agarwal, Shubhra; Lalwani, Astha
Introduction and aim. Labor analgesia is a key component in ensuring maternal comfort during childbirth and impacts several maternal and neonatal outcomes. The selection of pharmacological and nonpharmacological analgesic methods significantly affects labor progression, delivery methods, neonatal health, and maternal satisfaction. This systematic review sought to assess the implications of labor analgesia on these outcomes by synthesizing evidence from various study designs. Material and methods. Searches on the following electronic databases comprehensively: PubMed, Scopus, Web of Science, Cochrane Library, Embase, and CINAHL; Using Boolean operators and MeSH terms, six studies were included. These comprised randomized controlled trials, cohort studies, and observational studies that assessed maternal and newborn outcomes in the presence of labor analgesia. Data on types of analgesia, onset times, maternal hemodynamic outcomes, labor durations, delivery modes, neonatal Apgar scores, adverse events and maternal satisfaction were extracted. The exclusion criteria were studies that did not meet the inclusion criteria, such as reviews, editorials, and non-human studies. Analysis of the literature. The analysis involved a wide range of studies employing analgesia methods such as epidural, com bined spinal-epidural (CSE), programmed intermittent epidural bolus (PIEB), and non-pharmacological interventions. Ropiva caine (0.1–0.2%) with fentanyl (7.5–25 µg/mL) was the most commonly used combination. The onset times ranged from imme diate to 200 minutes for prolonged durations of PIEB. Labor durations were variable. Some techniques, such as peripheral nerve blocks, reduced second stage labor by 33.8 minutes, whereas epidural analgesia prolonged labor duration in some cohorts. The modes of delivery outcomes were characterized by relatively minimal variations in cesarean rates between techniques, while operative vaginal deliveries were more likely with routine epidurals. Neonatal outcomes were otherwise favorable with nor mal Apgar scores, although some studies reported lower 1 minute Apgar scores with epidurals. Adverse events, such as motor blockade and postdural puncture headaches, were usually technique-dependent and minimal. Maternal satisfaction was high in all methods, with ultrasound-guided CSE, PIEB, and nonpharmacological methods receiving particularly positive feedback. Conclusion. Labor analgesia showed overall safety and efficacy but varied impacts on labor duration, mode of delivery, and neonatal outcomes with the technique used. Although most of them had high maternal satisfaction and stable maternal he modynamics, some increased operative deliveries or adverse newborn outcomes. These results underscore the importance of tailoring analgesic strategies to individual clinical needs to optimize maternal and neonatal outcomes.
Patients’ perceptions of ambulatory healthcare work organisation and communication in healthcare entities
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2023-09) Hampel, Katarzyna; Ucieklak-Jeż, Paulina
The aim of the presented research was to analyse the relationship between assessments regarding the perception of elements of organisation and communication of a healthcare entity and the age of patients. The work focused on non-medical benefits for the patient, which may influence their satisfaction and the choices they make. The main rationale justifying the need to conduct research was the desire to verify patients’ perceptions, which was expressed as the degree of satisfaction with the clinic’s services. Two aspects were examined: work organisation and communication between the clinic and the patient. The research was conducted in medical facilities in the city of Częstochowa among patients currently using ambulatory medical care. The test groups were divided depending on the age of the respondents. In order to obtain data, an original survey questionnaire was used. The following research hypotheses were formulated: (H1) age of respondents influences perceptions of elements of the clinic’s work organisation; (H2) age of respondents influences perceptions of elements of the clinic’s communication with patients; (H3) satisfaction with the healthcare entity’s services (in terms of organisation and communication) increases with patient age. The basis for formulating the hypotheses was a review of research on social inequalities, inequalities in access to healthcare and patient satisfaction studies. In order to verify the hypotheses, statistical methods were used: the Mann-Whitney U test and Spearman’s rank correlation coefficient. Calculations were made using the Statistica software. The obtained results confirmed the validity of all hypotheses. The Mann-Whitney test confirmed that the age of respondents significantly affects the assessment of work organisation and communication between the clinic and the patient (H1 and H2). Furthermore, the obtained Spearman correlation values confirmed that patient satisfaction with the clinic’s services increases with the patient’s age (H3).
Satisfaction levels of patients attending the outpatient department of a tertiary care center of India
(Publishing Office of the University of Rzeszow, 2023-12) Kumar, Vijay; Biswas, Ratnadeep; Ojha, Vishnu S.; Kaushal, Kishore
Introduction and aim. Any hospital’s outpatient department (OPD) is regarded as the storefront of the facility, and patient satisfaction is an important measure of healthcare quality. Hence, this cross-sectional study was conducted in different OPDs at a tertiary care center. Material and methods. Two hundred patients were recruited, and structured personal interviews were conducted with questions based on the Patient Satisfaction Questionnaire Short Form (PSQ-18). T-tests and analysis of variance (ANOVA) were used to compare satisfaction scores between variables. Results. Upon analysis, 86% of the patients rated their overall experience as either ‘very good’ or ‘good’. Interpersonal manners (mean score±SD; 4.60±0.55), communication (4.39±0.66), general satisfaction (4.03±0.79), and technical qualities (3.86±0.57) were the domains in which the patients were most satisfied, while time spent with the doctor (3.77±0.89), accessibility and convenience (3.77±0.67), and financial aspects (3.37±0.83) were the areas that lagged. Conclusion. Satisfaction scores were found to vary significantly with gender, age, waiting times, and the number of visits per day. Regular patient satisfaction surveys should be conducted in all hospitals for devising interventions to provide patients with the best possible care.