阿伯塔巴德阿尤布教学医院成人日间手术患者满意度审计。

Ahmad Mukhtar, Zafar Arshad, Griffin Samson, Ahmad Sajjad, Orakzai Nasir, Fayyaz Faisal

Department of Surgery, Ayub Medical College, Abbottabad, Pakistan.

J Ayub Med Coll Abbottabad. 2005 Jan-Mar;17(1):22-5.

BACKGROUND

Day-case surgery has become an important component in the provision of surgical care in the Western countries. This study was done to introduce the concept of day-case surgery and assess the patients' satisfaction after day case general surgery in our set up with vast rural communities lacking medical facilities and no day-case surgery units in the hospitals.

METHODS

All those patients suitable for day-case surgery and who accepted day-case surgery for general surgical procedures in General Surgical 'A' unit of Ayub Teaching Hospital, Abbottabad were interviewed after the operation on follow up visits. Questions were asked about their satisfaction with day-case surgery. If they were not satisfied, the reasons for dissatisfaction were noted. Direct admissions and re-admissions after day-case surgery were recorded. Any complications in the postoperative period were also noted. The patient's preference for a similar procedure as day-case in future was also recorded.

RESULTS

There were 122 patients in this study. 60(49%) were operated under general anesthesia and 62(51%) under local anesthesia. Fourty Nine (40%) patients were satisfied while 73(60%) were not satisfied with day-case surgery. Six (5%) patients were admitted directly after day-case surgery while 7(5.7%) patients were admitted after discharge. Complications occurred in 41(33.6%) patients at home. Wound complications and pain were the most common morbidity encountered by the patients. Twenty eight (23%) patients contacted a hospital or a doctor in the early postoperative period. Sixty two (51%) patients would prefer operation as in-patient while 74 (60.6 %) would prefer an overnight stay after the operation next time.

CONCLUSIONS

Patients' satisfaction with day-case surgery in Ayub Teaching Hospital is not high. Short-stay surgery would be more appropriate in our set up.

背景

日间手术已成为西方国家外科护理的重要组成部分。本研究旨在引入日间手术的概念，并评估在我们所处的缺乏医疗设施且医院没有日间手术单元的广大农村社区中，患者接受日间普通外科手术后的满意度。

方法

对所有适合日间手术且在阿伯塔巴德阿尤布教学医院普通外科“A”单元接受日间普通外科手术的患者，在术后随访时进行访谈。询问他们对日间手术的满意度。如果不满意，记录不满意的原因。记录日间手术后的直接入院和再次入院情况。还记录术后期间的任何并发症。记录患者未来对类似手术作为日间手术的偏好。

结果

本研究中有122名患者。60名（49%）在全身麻醉下手术，62名（51%）在局部麻醉下手术。49名（40%）患者对日间手术满意，而73名（60%）不满意。6名（5%）患者在日间手术后直接入院，7名（5.7%）患者在出院后入院。41名（33.6%）患者在家中出现并发症。伤口并发症和疼痛是患者最常见的发病情况。28名（23%）患者在术后早期联系了医院或医生。62名（51%）患者希望住院手术，74名（60.6%）患者希望下次手术后过夜留院。