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Effects of Patient Satisfaction on Patient Caring Communication: Focusing on the Mediating Effects of Anxiety

환자돌봄 의사소통이 환자만족도에 미치는 영향: 불안의 매개효과를 중심으로

  • Received : 2024.01.23
  • Accepted : 2024.04.20
  • Published : 2024.04.28

Abstract

This study is a descriptive research study to determine the mediating effect of anxiety in the relationship between patient care communication and patient satisfaction among hospitalized patients. Data was collected using self-administered questionnaires from October to December 2021. The collected data were analyzed using descriptive statistics, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS 24.0 program, and the effectiveness of the mediation effect was tested using the Sobel test. As a result of the study, there was a positive correlation between patient care communication and patient satisfaction, and a negative correlation between patient care communication and anxiety. And there was also a negative correlation between patient satisfaction and anxiety. In the relationship between patient care communication and patient satisfaction, anxiety had a partial mediating effect (z=2.93, p<.001), with an explanatory power of 38.4%. In order to improve patient satisfaction based on the results of this study, it is necessary to develop a program that can improve nurses' patient care communication capabilities and reduce patients' anxiety.

본 연구는 병동의 입원환자를 대상으로 환자돌봄 의사소통과 환자만족도 간의 관계에서 불안의 매개효과를 파악하기 위한 서술적 조사연구이다. 자료는 2021년 10월부터 12월까지 자가설문지를 이용하여 수집하였다. 수집된 자료는 SPSS 24.0 프로그램을 이용하여 서술적 통계, 피어슨 상관관계 분석과 위계적 회귀분석을 이용하여 분석하였으며, 매개효과의 유효성 검정은 Sobel test로 분석하였다. 연구 결과, 환자돌봄 의사소통과 환자만족도 사이에는 양의 상관관계가 있었으며, 환자돌봄 의사소통과 불안과의 사이에는 음의 상관관계가 있었다. 환자만족도와 불안 사이에도 음의 상관관계가 있었다. 환자돌봄 의사소통과 환자만족도의 관계에서 불안은 부분매개 효과가 있었으며(z=2.93, p<.001), 설명력은 38.4%이었다. 본 연구의 결과를 토대로 환자만족도를 향상시키기 위해서는 간호사의 환자돌봄 의사소통 역량을 향상시키고, 환자의 불안을 감소시킬 수 있는 프로그램의 개발이 필요하다.

Keywords

References

  1. Y. A. Jung & K. M. Sung. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. Journal of Korean Academy of Nursing Administration, 24(1), 30-39. DOI : 10.11111/jkana.2018.24.1.30
  2. K. H. Yoo. (2016). A Study on the anxiety and mastery among mothers of hospitalized young children. The Journal of Korean Academic Society of Nursing Education, 22(3), 408-414. DOI : 10.5977/jkasne.2016.22.3.408
  3. J. E. Yu & J. Y. Park. (2023). Influence of empathy on the elderly, resilience and person-centered nursing on nursing service quality of nurses working in integrated nursing care service (INCS) unit. Journal of the Korean Gerontological Society, 43(4), 629-642. DOI : 10.31888/JKGS.2023.43.4.629
  4. H. Sagong & G. E. Lee. (2016). Person-centered care and nursing service quality of nurses in long-term care hospitals. The Research in Community and Public Health Nursing, 27(4), 309-318. DOI : 10.12799/jkachn.2016.27.4.309
  5. G. M. Zifko-Baliga & R. F. Krampf. (1997). Managing perceptions of hospital quality. Marketing Health Service, 17(1), 28-35.
  6. Y. H. Cho & Y. S. Park. (2018). The effect of perceived medical services quality by outpatient on the hospital image, satisfaction and re-use intention. The Journal of the Korea Contents Association, 18(4), 516-529. DOI : 10.5392/JKCA.2018.18.04.516
  7. H. Y. Hwang & J. H. Park. (2021). Effect of forms of care and nurses' attitude on hospital inpatient satisfaction: focusing on comprehensive nursing care. Journal of the Korean Data Analysis Society, 23(5), 2307-2316. DOI : 10.37727/jkdas.2021.23.5.2307
  8. H. L. Seo & J. O. Lee. (2022). Effects of nurses' communication styles and surgical patients' anxiety and uncertainty on patient satisfaction. Health Communication, 17(1), 71-81. DOI : 10.15715/kjhcom.2022.17.1.71
  9. M. S. Cho. (2021). The effect of inpatients' experience on patients' satisfaction and willingness to recommend hospital. Journal of Digital Convergence, 19(2), 299-305. DOI : 10.14400/JDC.2021.19.2.299
  10. M. A. Ahn, M. Kwon, & S. Y. Oh. (2017). A study on the convergent influencing factors of nursing service satisfaction perceived by patients and nurses. Journal of the Korean Convergence Society, 8(10), 135-145. DOI : 10.15207/JKCS.2017.8.10.135
  11. S. Yoon, T. Lee, H. Park, & Y. Song. (2018). The influence of nurses' emotional intelligence and communication within the organization on teamwork in armed forces hospitals. Korean Journal of Occupational Health Nursing, 27(1), 67-75. DOI : 10.5807/kjohn.2018.27.1.67
  12. H. J. Cho & H. S. Park. (2022). Influence of communication competence and communication style on the nurse-parent partnership in pediatric nurses. The Korean Journal of Fundamentals of Nursing, 29(2), 170-180. DOI : 10.7739/jkafn.2022.29.2.170
  13. H. J. Yun & J. H. Jeon. (2022). Factors influencing the performance of person-centered care among nurses in designated COVID-19 hospitals. Korean Journal of Adult Nursing, 34(4), 413-423. DOI : 10.7475/kjan.2022.34.4.413
  14. Y. S. Joo & Y. S. Jang. (2022). Predictors of person-centered care among nurses in adult intensive care units. Journal of Korean Clinical Nursing Research, 28(1), 34-44. DOI : 10.22650/JKCNR.2022.28.1.34
  15. S. Kim, M, Choi, J. Hong, & S. Joe. (2023). The effects of video-based admission education on anxiety and education satisfaction of patients in ROK military hospitals. Korean Journal of Military Nursing Research, 41(2), 1-11. DOI : 10.31148/kjmnr.2023.41.2.01
  16. M. L. Heo & S. B. Im. (2019). Development of the patient caring communication scale. Journal of Korean Academy Nursing, 49(1), 80-89. DOI : 10.4040/jkan.2019.49.1.80
  17. C. D. Spielberger. (1972). Anxiety; Current Trends Theory and Research. New York, Academic Press, 23-49.
  18. J. T. Kim & D. K. Shin. (1978). STAI's study on standardization in Korea. Latest Medical History, 21(11), 68-75.
  19. A. Parasuraman, V. A. Weithaml., & Leonaed, L. Berry. (1985) A conceptual model of service quality and its implications for future research. Journal of Marketing, 49, 41-50.
  20. S. H. Choi. (2007). The effect of nonverbal communication on service quality in restaurant food service industry. Unpublished master's thesis, Paichai University, Pusan.
  21. J. R. Noh. (2012). Relationship of nurse's nonverbal communication to patient satisfaction at hospital. Unpublished master's thesis, Catholic University, Pusan.
  22. R. M. Baron & D. A. Kenny. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  23. N. K. Yang & J. Y. Seo. (2022). The effect of mobile web-based COVID-19 isolation hospitalization management training on patient uncertainty, anxiety and nursing education satisfaction. Journal of Korean Clinical Nursing Research, 28(2), 112-121. DOI : 10.22650/JKCNR.2022.28.2.112