Resident participation in flexible sigmoidoscopy does not affect patient satisfaction

作     者：Jackson, JL Osgard, E Fincher, RK 

作者机构：Uniformed Serv Univ Hlth Sci Dept Med Bethesda MD 20814 USA Walter Reed Army Med Ctr Dept Gastroenterol Washington DC 20307 USA 

出 版 物：《AMERICAN JOURNAL OF GASTROENTEROLOGY》 (美国胃肠病学杂志)

年 卷 期：2000年第95卷第6期

页      面：1563-1566页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：实习医师和住院医师职务 病人满意度 柔韧性 乙状结肠镜 乙状结肠镜检查 时间因素 女(雌)性 人类 男(雄)性 中年人 

摘      要：OBJECTIVE: We sought to assess the effect of resident involvement in flexible sigmoidoscopy on patient satisfaction and comfort. METHODS: Adults undergoing flexible sigmoidoscopy completed a previsit questionnaire on indication for procedure, GI-related history, and functional status. Immediately after the procedure, satisfaction and procedure comfort were assessed. Additional information collected included procedure duration, depth of sigmoidoscope penetration, and visualization of diverticuli or polyps. RESULTS: Among 408 endoscopies, patient characteristics and procedure indications were similar between sigmoidoscopies done by residents (n = 111)or staff. There were no differences in patient satisfaction, procedure comfort, or willingness to undergo the procedure again in the future. Sigmoidoscopies involving residents averaged 5.6 min longer, even after adjusting for preparation quality, depth of insertion, specific endoscopist, and the presence of polyps or diverticuli. CONCLUSIONS: Patient satisfaction and comfort with flexible sigmoidoscopy was not reduced by resident involvement, though the procedure duration was slightly longer. (Am J Gastroenterol 2000;95:1563-1566. (C) 2000 by Am. Cell. of Gastroenterology).