Predictors of satisfaction with surgical treatment

Sørlie, Tore; Sexton, Harold; Busund, Rolf; Sørlie, Dag

doi:10.1093/intqhc/12.1.31

Cited by 48 publications

(37 citation statements)

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“…Conceptually, HLC is a personality style variable, which has commonly been used as a predictor of medical outcomes, and of the individuals' adaptation to a variety of threatening health issues 23 . We use only the Internal sub-scale, hereunder 5 of the 6 items.…”

Section: Internal Health Locus Of Control (Ihlc)mentioning

confidence: 99%

Tinnitus, Anxiety, Depression and Substance Abuse in Rock Musicians a Norwegian Survey

Størmer¹,

Sørlie²,

Stenklev³

2017

The International Tinnitus Journal

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Objective: Rock musicians are known to have an increased prevalence of hearing loss and tinnitus. The aims of the present study were to examine the distribution of anxiety and depression symptoms among rock musicians with or without tinnitus and how these mental health indicators and internal locus of control influenced upon their tinnitus symptom concerns and the degree to which the tinnitus affected their lives. Design: The study was a questionnairebased cross-sectional survey of subjects selected from a cohort of rock musicians. We recruited 111 active musicians from the Oslo region, and a control group of 40 non-musicians from the student population at the University of Tromso. Results: Among the rock musicians 19.8% reported permanent tinnitus vs. 0% among the controls. Musicians more often reported anxiety symptoms than controls (35.1% vs. 17.5%), however this prevalence was not different in musicians with and without tinnitus. Tinnitus-affected musicians reported depressive symptoms, significantly more than controls (13.6% vs. 5%). Rock musicians consumed more alcohol than controls, but alcohol consumption was unrelated to severity of tinnitus. Drug abuse was not more prevalent in rock musicians than in controls. Duration of tinnitus, internal locus of control, sleep disturbance and anxiety were significant predictors of how affected and how concerned musicians were about their tinnitus. Conclusion: Rock musicians are at risk for the development of chronic tinnitus, and they have an increased prevalence of anxiety. There is an association between chronic tinnitus and depressive symptoms in rock musicians, but our results are ambiguous. Although rock musicians have a chronic exposure to noise, noise-induced hearing loss is not the sole causative agent for the development of tinnitus.

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Section: Internal Health Locus Of Control (Ihlc)mentioning

confidence: 99%

Tinnitus, Anxiety, Depression and Substance Abuse in Rock Musicians a Norwegian Survey

Størmer¹,

Sørlie²,

Stenklev³

2017

The International Tinnitus Journal

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“…A problem using patient satisfaction as a quality indicator depends on the complexities where different factors could affect the outcome, and the reliability and validity questioned [17]. Factors such as gratitude, faith and loyalty to health care providers, could influence patient satisfaction [18] as well as background factors such as age, health status and expectations of care [19][20]. A patient's evaluation could be positive, even when care is poor [18].…”

Section: Introductionmentioning

confidence: 99%

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Jangland

Gunningberg

Carlsson

2009

Patient Education and Counseling

131

141

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Results Three categories were identified: "Not receiving information or being given the option to participate", "Not being encountered in a professional manner" and "Not receiving nursing or practical support". Insufficient information, insufficient respect and insufficient empathy were described as the most common reasons for a negative professional encounter. ConclusionPatients and relatives experienced unnecessary anxiety and reduced confidence in health care after negative professional encounters. Practice implicationsThe complaints reported to the Patients' Advisory Committee could be used more effectively in health care and be regarded as important evidence when working with quality improvement. To systematically use patient stories, such as those obtained in this report, as a reflective tool in education and supervision could be one way to improve communication and bring new understanding about the patient's perspective in health care. KeywordsComplaints, communication, professional encounter and content analysis. Much research has been done on communication between patients and health professionals. For example, the power of the information communicated by the voice was studied among surgeons, and it was suggested that "how" a message is conveyed may be as important as "what" is said [8]. The physician-patient communication was studied among primary care physicians and surgeons. Physicians with no-claim seemed to conduct longer visits, educate patients more, check understanding more and use more humour during the visit than physicians with claims [9]. A study by Kuzel [10] showed that negative outcomes in the clinician-patient relationship, dominated by stories of disrespect or insensitivity, were reported as more common than technical errors in diagnosis and treatment.The Institute for Healthcare Improvement (IHI) emphasizes that the health care system needs to be more patient-centred and to involve the patients and families in the design of care. Patient-centred care requires respect for patients' values and expressed needs, information and communication, coordination of care, involvement of family, 4 and concordance between the patient and health professionals [11]. Eldh [12] concludes that health care professionals should support patient participation by recognizing the patient as an individual and as a resourceful partner. The benefits of patient-centred care could be that patients are more motivated to follow treatment advice [13] and are more satisfied with health care [14].Patient satisfaction is used as a common quality indicator in health care [15][16]. A problem using patient satisfaction as a quality indicator depends on the complexities where different factors could affect the outcome, and the reliability and validity questioned [17]. Factors such as gratitude, faith and loyalty to health care providers, could influence patient satisfaction [18] as well as background factors such as age, health status and expectations of care [19][20]. A patient's evaluation could be positive, even when care...

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“…1,2 In particular, patients' satisfaction or dissatisfaction after spinal surgery has been shown to be influenced by patients' expectations, their medical condition and health status, psychosocial variables, and characteristics of the treatment. [8][9][10] These studies included younger age groups and cannot be generalized to the elderly. A recent follow-up study 11 comprising 83 patients reported that patients satisfaction correlated with postoperative back pain, leg pain, numbness and subjective difficulty in walking; however, by multivariate regression analysis the only independent correlate was a subjective walking difficulty, and it was concluded that postoperative level of functioning was weakly correlated with satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

et al. 2005

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Study design: Retrospective cohort examination. Objectives: Data on expectations and satisfaction rates in elderly patients operated for lumbar spinal stenosis (LSS) are limited. The present study aimed to investigate these issues as well as the factors that might affect them. Setting: A university affiliated hospital. Patients and methods: A follow-up study of 367 consecutive patients aged 65 years and older (mean age 71.4 years), who underwent surgery for degenerative LSS between 1990 and 2000. Data collection included patients' preoperative expectation, demographic data, body mass index, operative risk, duration of symptoms, clinical presentation and patients' satisfaction on follow-up, pain level, activities of daily living level and walking ability. Data were recorded before operation and on follow-up. Preoperative and follow-up data were analyzed by univariate and multivariable models. Results: The response rate on follow-up was 81% (298 patients). A logistic regression analysis showed that advanced age, male gender and high education level were independently associated with positive expectations, while a great number of covariates were associated with patients' satisfaction. High patients' expectations were positively interrelated with satisfaction (r ¼ 0.332, Po0.001). Conclusions: In the elderly, preoperative expectations reasonably predict their postoperative satisfaction rate. It is suggested that a greater effort should be made to narrow the gaps between expectations and satisfaction, perhaps by providing more accurate preoperative information data regarding the outcomes of planned surgery.

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Predictors of satisfaction with surgical treatment

Cited by 48 publications

References 0 publications

Tinnitus, Anxiety, Depression and Substance Abuse in Rock Musicians a Norwegian Survey

Tinnitus, Anxiety, Depression and Substance Abuse in Rock Musicians a Norwegian Survey

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction

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