Patientenzufriedenheit nach Anwendung eines standardisierten Analgesieverfahrens durch Rettungsfachpersonal – eine Beobachtungsstudie

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Zusammenfassung

Hintergrund Unzureichende präklinische Schmerzbehandlung führte 2015 zur Einführung eines standardisierten Analgesiekonzeptes in der Rettungsdienst-Kooperation in Schleswig-Holstein (RKiSH). Obwohl die Verträglichkeit, Wirksamkeit und Sicherheit des Analgesiekonzeptes nachgewiesen wurden, muss die Zufriedenheit der Patienten mit diesem neuen Ansatz noch durch einen validierten Fragebogen ermittelt werden.

Zielsetzung Untersuchung und Analyse der Unterschiede in der Patientenzufriedenheit zwischen den eingesetzten Schmerzmitteln.

Methodik Nach Durchsicht der vorhandenen validierten/getesteten Instrumente zur Messung der Patientenzufriedenheit wurde ein Fragebogen entwickelt. Nach psychometrischen Tests erhielten wir einen abschließenden 16-Punkte-Fragebogen, der 4 Dimensionen der Patientenzufriedenheit analysierte: Schmerzbehandlung, Personal, Wartezeit und Medikamentenverträglichkeit. Die Datenerhebung erfolgte mittels Fragebogen in 4 Kreisen des Landes Schleswig-Holstein von Juni 2018 bis Juni 2019. Insgesamt wurden 820 Fragebögen versandt und 363 anonymisierte gültige Antworten ausgewertet.

Ergebnisse Wir beobachteten sehr hohe Zufriedenheitswerte für alle Skalen. Wir fanden keine Unterschiede in der Patientenzufriedenheit zwischen den einzelnen Arzneimittelgruppen.

Diskussion Unsere Ergebnisse haben gezeigt, dass die Patienten mit der derzeitigen Analgesiebehandlung durch das eingesetzte Rettungsdienstpersonal sehr zufrieden sind und dass keine bestimmte Kombination aus Medikamenten für die Patienten zufriedenstellender war.

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