ABSTRACT
Objetivo. Conocer las necesidades y expectativas de los pacientes de una Unidad de Grandes Quemados. Material y métodos. Metodología cualitativa consistente en entrevistas en profundidad (12 pacientes), encuestas Kano y encuestas SERVQHOS (24 pacientes). Los entrevistados habían estado hospitalizados en los últimos 12 meses en la Unidad de Quemados. Los requisitos obtenidos con las encuestas en profundidad se agruparon mediante diagramas de afinidad y se empleó una encuesta Kano para clasificarlos en imprescindibles, atractivos (no esperados, producen gran satisfacción) y unidimensionales (ligados al grado de funcionalidad del servicio prestado). Los resultados se compararon con los obtenidos mediante la encuesta SERVQHOS. Resultados. Del análisis de las entrevistas en profundidad se obtuvieron 11 requisitos que hacían referencia a aspectos hosteleros, de información, necesidad de mayor cercanía del personal y aspectos organizativos. De ellos, se clasificaron como imprescindibles: televisión gratuita y desconexión automática de la televisión a las 00h, y como atractivos: mayor intimidad durante la hospitalización (habitación individual), información previa del horario al que se van a realizar las curas para disminuir la ansiedad y mantener un retén adicional de profesionales para atender a los hospitalizados cuando el resto está en una urgencia. Los resultados encontrados fueron complementarios de los obtenidos mediante la encuesta SERVQHOS. Conclusiones. Con las entrevistas en profundidad se han podido conocer los requisitos de los pacientes, complementando la información obtenida por medio de encuestas. Con esta metodología, la participación del paciente es más activa y se tiene en cuenta la opinión de los acompañantes (AU)
Objective. To determine the healthcare requirements of patients in a Burns Unit, using qualitative techniques, such us in-depth personal interviews and Kano's methodology. Material and methods. Qualitative methodology using in-depth personal interviews (12 patients), Kano's conceptual model, and the SERVQHOS questionnaire (24 patients). All patients had been hospitalised in the last 12 months in the Burns Unit. Using Kano's methodology, service attributes were grouped by affinity diagrams, and classified as follows: must-be, attractive (unexpected, great satisfaction), and one-dimensional (linked to the degree of functionality of the service). The outcomes were compared with those obtained with SERVQHOS questionnaire. Results. From the analysis of in-depth interviews, 11 requirements were obtained, referring to hotel aspects, information, need for closer staff relationship, and organisational aspects. The attributes classified as must-be were free television and automatic TV disconnection at midnight. Those classified as attractive were: individual room for more privacy, information about dressing change times in order to avoid anxiety, and additional staff for in-patients. The results were complementary to those obtained with the SERVQHOS questionnaire. Conclusions. In-depth personal interviews provide extra knowledge about patient requirements, complementing the information obtained with questionnaires. With this methodology, a more active patient participation is achieved and the companion's opinion is also taken into account (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Qualitative Research , Health Research Evaluation , Interviews as Topic , Surveys and Questionnaires , Outcome and Process Assessment, Health Care/organization & administration , Outcome and Process Assessment, Health Care/standardsABSTRACT
OBJECTIVE: To determine the healthcare requirements of patients in a Burns Unit, using qualitative techniques, such us in-depth personal interviews and Kano's methodology. MATERIAL AND METHODS: Qualitative methodology using in-depth personal interviews (12 patients), Kano's conceptual model, and the SERVQHOS questionnaire (24 patients). All patients had been hospitalised in the last 12 months in the Burns Unit. Using Kano's methodology, service attributes were grouped by affinity diagrams, and classified as follows: must-be, attractive (unexpected, great satisfaction), and one-dimensional (linked to the degree of functionality of the service). The outcomes were compared with those obtained with SERVQHOS questionnaire. RESULTS: From the analysis of in-depth interviews, 11 requirements were obtained, referring to hotel aspects, information, need for closer staff relationship, and organisational aspects. The attributes classified as must-be were free television and automatic TV disconnection at midnight. Those classified as attractive were: individual room for more privacy, information about dressing change times in order to avoid anxiety, and additional staff for in-patients. The results were complementary to those obtained with the SERVQHOS questionnaire. CONCLUSIONS: In-depth personal interviews provide extra knowledge about patient requirements, complementing the information obtained with questionnaires. With this methodology, a more active patient participation is achieved and the companion's opinion is also taken into account.
Subject(s)
Burn Units , Interviews as Topic , Models, Theoretical , Adult , Burns/nursing , Burns/psychology , Burns/therapy , Female , Health Services Needs and Demand , Humans , Male , Middle Aged , Patient Satisfaction , Patients' Rooms , Privacy , Professional-Patient Relations , Qualitative Research , Surveys and Questionnaires , Television , Young AdultABSTRACT
A case of simultaneous development of multiple vascular neoplasms in a patient with a previous history of burns and lymphoblastic lymphoma is reported. Microscopic examination revealed angiomatosis made up of diffuse capillary proliferation. We speculate that endogenous factors could have played an important role in the development of these neoplasms. We discuss the clinical and histological differential diagnosis of the case presented: a disseminated variant of lobular capillary haemangioma, Kaposi's sarcoma, bacillary angiomatosis and hyperplastic granulation tissue.
