关键词: 玻璃体内注药；问卷调查；医务社工；医学人文 

Abstract:   Objective To study the application effectiveness of medical humanities care for elderly patients with intravitreal  injection by medical social workers in a public hospital. Design Questionnaire survey. Participants A satisfaction survey was conducted in Intravitreal Injection Center of Beijing Tongren Hospital. Sixty-two elderly patients who visited Intravitreal Injection Center in March 2025 (after social workers' intervention) were randomly selected as the observed group, and 91 elderly patients who visited Intravitreal  Injection Center in March 2024 (before social workers' intervention) were selected as the controlled group. Methods During the medical visits of elderly patients in the observed group, medical social workers led volunteers to provide medical humanistic care to patients, which included volunteers offering guidance, consultation, introduction of medical visit process, reading surgical notification letters, and assisting with putting on and taking off surgical gowns, etc. Medical social workers also conducted relaxation training for patients in need. The patients in the controlled group sought medical treatment by themselves without medical social workers helping. Artificial intelligence (AI) robots were used to process the telephone follow-up to assess the satisfaction of the patients. Likert scale was used to conduct a questionnaire analysis. The questionnaire involves 4 dimensions and 6 questions: medical procedures, medical ethics, medical quality and service time. Each dimension was rated on a scale of 1 to 5. Main Outcome Measures Satisfaction score. Results The score of the nurse's service satisfaction score of the observed group was 4.92±0.36, which significantly increased compared with that of the controlled group (4.68±0.71) (t=-2.550, P=0.012). The score of satisfaction with waiting time was 4.93±0.36, which significantly increased compared with that of the controlled group (4.81±0.54) (t=-2.851, P=0.005). The score of other personnel satisfaction was 4.96±0.18, which significantly increased compared with that of the controlled group (4.73±0.64) (t=-2.749, P=0.007). The score of overall satisfaction in the observed group was 4.82±0.29, which significantly increased compared with that of the controlled group (4.59±0.47) (t=-3.464, P=0.001). There were no significant differences in the scores of procedure smoothness, doctor's attitude satisfaction, and doctor's treatment level satisfaction between the two groups (all P >0.05). Conclusion Medical social workers and volunteers to jointly provide medical humanistic services to elderly patients with ocular fundus diseases can effectively improve the non-technical medical experience of elderly patients, reduce their difficulties in seeking medical care, shorten their waiting time, alleviate negative emotions, enhance their satisfaction, and improve their medical experience. 

Key words: Intravitreal drug injection, Questionnaire, Medical social workers, Medical humanities