Okamura Kikuo, Ozawa Hideo, Kinukawa Tsuneo, Imamura Masaaki, Saito Shiro, Terai Akihito, Takei Mineo, Hasegawa Tomonori
Department of Urology, National Center for Geriatrics and Gerontology.
Nihon Hinyokika Gakkai Zasshi. 2004 Nov;95(7):800-8. doi: 10.5980/jpnjurol1989.95.800.
We conducted a questionnaire survey to elucidate the rating of the patients who underwent transurethral resection of the prostate (TURP) and were managed by a common clinical path during hospitalization.
At the day of discharge from seven hospitals in Japan, the questionnaires were handed to 298 patients who underwent TURP in 2002. In the path, it was determined that the patients should be admitted one day before surgery and discharged on the seventh postoperative day.
The questionnaires were returned by 240 (80.5%) patients. Of the 212 patients answering a question regarding the desirable preoperative hospital stay, 58 (27.4%), 85 (40.1%) and 46 (21.7%) considered 1, 2 and 3 days as a desirable preoperative stay, respectively. Of the 206 answering a question about the desirable postoperative hospital stay, 54 (26.2%), 28 (13.6%) and 60 (29.1%) considered 7, 8 and 9-10 days as a desirable postoperative hospital stay, respectively. Of the 240 patients, 229 (95.4%) received the path for the patients, 234 (97.5%) understood the treatment methods well and 229 (95.4%) understood the schedule during hospitalization well. Two hundred thirty-six (98.3%) and 218 (90.8%) patients answered that as scheduled, they started to have meals and started to walk, respectively. Continuous drip infusion was terminated in 219 (91.3%) as scheduled, and indwelling catheters were removed in 215 (89.6%) as scheduled.
This questionnaire survey elucidated that approximately 70% of the patients who underwent TURP wanted to stay 1 or 2 days before surgery and 7 to 10 days after surgery. We consider it very important that patients understand well the treatment methods, complications, schedules during hospitalization and criteria for discharge when they are managed using the clinical path, so they will accept better a length of hospital stay that is shorter than that which they had desired.
我们进行了一项问卷调查，以阐明接受经尿道前列腺切除术（TURP）并在住院期间按照常规临床路径管理的患者的评分情况。
在日本七家医院出院当天，向2002年接受TURP的298名患者发放问卷。按照该临床路径，患者应在手术前一天入院，并在术后第七天出院。
240名（80.5%）患者返回了问卷。在回答关于理想术前住院时间问题的212名患者中，分别有58名（27.4%）、85名（40.1%）和46名（21.7%）认为理想的术前住院时间为1天、2天和3天。在回答关于理想术后住院时间问题的206名患者中，分别有54名（26.2%）、28名（13.6%）和60名（29.1%）认为理想的术后住院时间为7天、8天和9 - 10天。在240名患者中，229名（95.4%）接受了针对患者的临床路径，234名（97.5%）对治疗方法理解良好，229名（95.4%）对住院期间的日程安排理解良好。236名（98.3%）和218名（90.8%）患者分别回答说他们按计划开始进食和开始行走。219名（91.3%）患者按计划终止了持续滴注，215名（89.6%）患者按计划拔除了留置导尿管。
这项问卷调查表明，接受TURP的患者中约70%希望在手术前住院1或2天，术后住院7至10天。我们认为，当使用临床路径管理患者时，让患者充分理解治疗方法、并发症、住院期间的日程安排和出院标准非常重要，这样他们会更好地接受比他们期望的住院时间更短的情况。
