Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres
| Autor: | Neal Lynch, Alessandro Orlando, Chester Dreiman, Allen Tanner, Constance McGraw, Laura Peck, David Bar-Or, Rebecca Vogel, Pamela Bourg |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorado Adolescent Cross-sectional study Psychological intervention quality in health care adult palliative care Young Adult 03 medical and health sciences Injury Severity Score 0302 clinical medicine Patient satisfaction Trauma Centers Surveys and Questionnaires Health care Humans Medicine Medical history 030212 general & internal medicine Qualitative Research intensive and critical care Original Research Aged Geriatrics geriatric medicine business.industry Orthopaedic and trauma surgery 030208 emergency & critical care medicine General Medicine Length of Stay Middle Aged Cross-Sectional Studies Traumatic injury Caregivers Patient Satisfaction trauma management Physical therapy Wounds and Injuries Female business Psychosocial |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTo explore satisfaction of care received by older adult patients and their primary caregivers following traumatic injury.DesignProspective, cross-sectional study using the FAMCARE (Family Satisfaction with Advanced Cancer Care Scale) satisfaction surveys prior to discharge.SettingThree level I trauma centres in Colorado from November 2016 to December 2017.ParticipantsTrauma patients ≥55 years old and their primary caregivers.Outcome measuresOverall mean (SD) satisfaction, satisfaction ResultsOf the 319 patients and 336 caregivers included, the overall mean (SD) patient satisfaction was 81.7% (15.0%) and for caregivers was 83.6% (13.4%). The area with the highest mean for patient and caregiver satisfaction was psychosocial care (85.4% and 86.9%, respectively). Information giving was the lowest for patients (80.4%) and caregivers (80.9%). When individual items were examined, patients were significantly more satisfied with ‘availability of nurses to answer questions’ (84.5 (15.3) vs 87.4 (14.8), p=0.02) and significantly less satisfied with ‘speed with which symptoms were treated’ (80.6 (17.9) vs 84.0 (17.0), p=0.03) compared with caregivers. Patients with a history of smoking (least squares mean difference: −0.096 (−0.18 to –0.07), pConclusionsOur data suggest that patients’ medical history was driving both patient and caregiver satisfaction. Patient characteristics and expectations need to be considered when tailoring healthcare interventions. |
| Databáze: | OpenAIRE |
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