García Durán A, Docobo Durántez F, Mena Robles J, Cárave López Becerra A, Vázquez Monchul J, Durán Ferreras I
Servicio de Cirugía General y Aparato Digestivo, Unidad de Gestión Clínica Cirugía Mayor Ambulatoria, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Rev Esp Enferm Dig. 2003 Dec;95(12):851-62.
Surgical and anesthetic advances have allowed an adequate develop at the day surgery programs, with a rational application and cost-effectiveness of the hospital resorts. The aim of this study, is to know the level of quality perceived in surgical treatment in a program of day surgery.
A randomised selection of 204 patients from a series of 751 operated, between April-May 2001 in a day-surgery institution, was done. Phone questionnaire was done following protocol SERCAL (sociodemographic factors and general satisfaction, accessibility, personal assistance, guarantee and fidelity service) with validation for day surgery programs. Absolute and relatives frequencies were evaluated for dichotomous and categoric variables and medium and standard deviation for numeric variables. Possible differences were evaluated by chi2 test in qualitative variables and Student's t and ANOVA test for quantitative variables.
Response index was 70.1%. Satisfaction general index was 9.1%, for 18 numeric items (range 0-10). Social and demographic items show that the best validity of treatment were by elderly, women, retired and low cultural patients. Data reduction by factorial analysis showed 4 factors with incidence (total variance 71.62%): Scientific-technical guarantee service and adequate personal treatment (Cronbach's alpha 0.9060), comfortable and security assistance (Cronbach's alpha 0.8708), accessibility to hospital and professionals (Cronbach's alpha 0.0652), accessibility to surgical service.
General satisfaction of the patients treated in the day-surgery program was high, 9.1 (range 0-10). 88.8% patients would recommend this type of treatment to their parents or friends and in 84.3% would repeat the same experience in the surgery unit. The best appreciate items were the direct treatment and relation, respect, intimacy and information along the assistential circuit by implicated professionals. The worst identified item was the time past in waiting surgical list.
外科手术和麻醉技术的进步使得日间手术项目得以充分发展，实现了医院资源的合理应用和成本效益。本研究的目的是了解日间手术项目中患者对手术治疗质量的感知水平。
从2001年4月至5月间在一家日间手术机构接受手术的751例患者中随机选取204例。按照SERCAL方案（社会人口统计学因素和总体满意度、可及性、个人协助、保障和忠诚度服务）进行电话问卷调查，该方案已通过日间手术项目验证。对二分变量和分类变量评估绝对频率和相对频率，对数值变量评估均值和标准差。通过卡方检验评估定性变量的可能差异，通过学生t检验和方差分析评估定量变量的差异。
回复率为70.1%。总体满意度指数为9.1%（针对18个数值项目，范围为0至10）。社会人口统计学项目显示，老年患者、女性、退休人员和文化程度较低的患者对治疗的认可度最高。通过因子分析进行数据降维显示有4个因素，其发生率（总方差71.62%）分别为：科学技术保障服务和适当的个人治疗（克朗巴哈系数0.9060）、舒适安全的协助（克朗巴哈系数0.8708）、医院和专业人员的可及性（克朗巴哈系数0.0652）、手术服务的可及性。
日间手术项目中接受治疗的患者总体满意度较高，为9.1（范围0至10）。88.8%的患者会向其父母或朋友推荐这种治疗方式，84.3%的患者会在手术科室重复相同的经历。最受赞赏的项目是相关专业人员在整个辅助过程中的直接治疗、关系、尊重、亲密感和信息提供。识别出的最糟糕项目是在手术等候名单上等待的时间。
