摘要
目的调查患者对从医疗机构门诊获得健康教育的需求和满意程度,为制定医疗机构门诊健康教育策略提供科学依据。方法分层整群抽样与分层随机抽样相结合的方式,根据一、二、三级医院的分布,抽取140家医院,采用自制问卷拦截法对门诊患者进行调查。结果回收有效问卷1375份,健康教育需求前5位依次为治疗方案及用药(94.9%)、观察病情及时就医(94.5%)、病人权利(94.1%)、预防并发症及康复锻炼(93.7%)、化验检查目的及结果解读(93.1%);患者对"病人权利"诉求表现为女性高于男性,对"心理知识与周边心理支持"的需求男性高于女性;此外健康教育需求还呈现文化程度及收入越高、就诊医院级别越高、越靠近中心城区,需求越高。患者对门诊健康教育的总体满意度为85.6%;患者对就诊前、就诊中、就诊后以及健康教育总体满意度基本表现为年纪越轻、文化程度及收入水平越高,患者满意度越低,中心城区满意度低于郊区。结论市民健康防病意识亟待加强,对门诊健康教育需求及满意度受地域、文化程度、性别、年龄、收入等因素影响,应针对不同人群结合需求因地制宜开展。
Objective To investigate the demands and satisfaction levels of outpatient health education on patients, and to provide scientific evidence for strategies on the outpatient health education. Methods Stratified cluster sampling and stratified random sampling methods were used to select. 140 hospitals were selected according to the distribution of grade Ⅰ, grade Ⅱ and grade Ⅲ hospitals. Investigation was conducted on the outpatient with questionnaire intercept method. Results 1375 effective questionnaires were recycled. Among the subsequence of factors of demands on health education, the former five factors followed by ＇ treatment program and medication＇, ＇ illness observation and go to a doctor timely＇ , ＇ patients right＇ , ＇ prevention complications and the rehabilitation exercise＇ and ＇ purpose oflaboratory check and interpretation of results＇ ; the demand on ＇ patients rights＇ in female patients is significantly strongerthan that in male, but thedemand on ＇ psychological knowledge and around psychological support＇ isthe opposite. Moreover, the demands on health education was stronger accom- panied by higher education and income, higher hospital gradeor nearerto urban district. The overall rate of satisfaction with out- patient health education on patients was 85.6% ; the overall rate of satisfaction onprior to visit, visit, after visit and health education was lower accompanied by younger age, and higher education and income. And the rate of satisfaction in urban district was lower than that in suburb. Conclusion the awareness of public health and disease prevention should be strength- ened. The demand and satisfaction on outpatient health education are affected by region, culture, gender, age, income and other factors. We shouldcarry out outpatient health education according to different group needs and local conditions.
出处
《中国健康教育》
北大核心
2017年第11期987-991,共5页
Chinese Journal of Health Education
基金
2015年上海市卫生计生委卫生计生政策研究课题(2015HP046)
关键词
门诊
健康教育
需求
满意度
Outpatient
Health education
Demand
Satisfaction
