Korean J Pain.  2017 Apr;30(2):116-125. 10.3344/kjp.2017.30.2.116.

Sufficient explanation of management affects patient satisfaction and the practice of post-treatment management in spinal pain, a multicenter study of 1007 patients

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. painfree@kuh.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, Guri, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
  • 4Goodmorning Pain Clinic, Guri, Korea.
  • 5Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
  • 6Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 7Department of Anesthesiology and Pain Medicine, Catholic University of Korea, Yeouido St. Mary's Hospital, Seoul, Korea.

Abstract

BACKGROUND
Spinal pain is most common symptom in pain clinic. In most cases, before the treatment of spinal pain, physician explains the patient's disease and treatment. We investigated patient's satisfaction and physician's explanation related to treatments in spinal pain patients by questionnaires.
METHODS
Anonymous questionnaires about physician's explanation and patient's satisfaction in each treatment and post-treatment management were asked to individuals suffering from spinal pain. Patients who have spinal pain were participated in our survey of nationwide university hospitals in Korea. The relationships between patient's satisfaction and other factors were analyzed.
RESULTS
Between June 2016 and August 2016, 1007 patients in 37 university hospitals completed the questionnaire. In the statistical analysis, patient's satisfaction of treatment increased when pain severity was low or received sufficient preceding explanation about nerve block and medication (P < 0.01). Sufficient explanation increased patient's necessity of a post-treatment management and patients' performance rate of post-treatment management (P < 0.01).
CONCLUSIONS
These results show that sufficient explanation increased patients' satisfaction after nerve block and medication. Sufficient explanation also increased the practice of patients' post-treatment management.

Keyword

Medication treatment; Nerve block treatment; Spinal pain; Patient; Post treatment management; Physician

MeSH Terms

Anonyms and Pseudonyms
Hospitals, University
Humans
Korea
Nerve Block
Pain Clinics
Patient Satisfaction*

Figure

  • Fig. 1 The pain scores of the patients (0 is no pain, 10 is most severe pain imaginable).

  • Fig. 2 (A) First pain site of respondents. (B) Time from first pain to treatment.

  • Fig. 3 Important items that were thought by patients for post-treatment management.

  • Fig. 4 Performance rate of post-treatment management and practice rate of each item.

  • Fig. 5 Effectiveness of post-treatment management which is thought by patients.

  • Fig. 6 Logistic regression analysis of correlation between patient's satisfaction and other items in nerve block.

  • Fig. 7 Logistic regression analysis of correlation between patient's satisfaction and other items in medication.

  • Fig. 8 Logistic regression analysis of correlation between performance of post-treatment management and other items in post-treatment management.


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