The Satisfaction of Ischemic Heart Disease Patients With Nursing Care in Emergency Department

Abstract

Background: Emergency department congestion is among the major barriers to receiving nursing care for high-priority conditions, like ischemic heart disease. Therefore, it can affect patients' satisfaction with the quality of care. This study aimed to investigate satisfaction with emergency care among patients with ischemic heart disease. Methods: This cross-sectional study was conducted on 600 randomly-selected patients with ischemic heart disease who were admitted to the emergency department of Shahid Beheshti Hospital in Kashan City, Iran, from April to October 2017. The required data were collected, applying the Patient Satisfaction Instrument (PSI). The obtained data were analyzed using descriptive and analytical statistics, including Independent Samples t-test, Analysis of Variance (ANOVA), Multivariate Regression, and Pearson's correlation analysis in SPSS software. Results: In total, 50.7%( 304) of the studied patients were male. The Mean±SD score of patient satisfaction with nursing care was 71.90±14.76. The highest and lowest scores of patient satisfaction were related to technical-professional care (4.40±1.09) and patient education (3.17±0.74) subscales, respectively. Patient satisfaction was significantly correlated with previous experience of hospitalization and educational level (P=0.03). Pearson's correlation analysis results suggested a positive and significant correlation between age and satisfaction (P<0.01; r=0.310). Conclusion: In this study, patient satisfaction of technical-professional care was at an acceptable level; however, it was low on the subscale of patient education. Nevertheless, nursing managers should create conditions to promote patient education for more patient satisfaction. Additionally, devoting more time for patient education is required by nurses.