Omundsen Mark S, Dennett Elizabeth, Walker Heidi C
Department of Surgery, Wellington Hospital, Wellington, New Zealand.
ANZ J Surg. 2008 Jan-Feb;78(1-2):49-51. doi: 10.1111/j.1445-2197.2007.04355.x.
The purpose of the study was to ascertain how well patients recall their discharge diagnosis and details of their surgical procedure after a diagnostic laparoscopy at our institution.
Three hundred and forty-five patients were identified as being eligible in the study. Patient characteristics and treatment details were recorded. They were then contacted by telephone and 258 patients participated (response rate 75%). They were asked the same seven questions by an investigator who was blinded to their treatment details and their responses recorded.
The sample consisted of 248 (96%) women and 10 (4%) men. Only seven persons (3%) were incorrect about the state of their appendix. However, 108 persons (42%) were incorrect about their discharge diagnosis. Seventy-one patients (28%) were unhappy with the information they received while in hospital. Age, whether pathology was found, dissatisfaction or type of operation was not found to significantly influence patient recall of diagnosis.
We found that patients having a diagnostic laparoscopy at our institution often leave the hospital dissatisfied and with a poor understanding of their discharge diagnosis. This has important implications for future assessments of acute abdominal pain in these patients and can lead to misinformation and unnecessary surgical procedures.
本研究的目的是确定在我们机构进行诊断性腹腔镜检查后，患者对其出院诊断和手术过程细节的记忆程度。
确定345例患者符合本研究的条件。记录患者的特征和治疗细节。然后通过电话联系他们，258例患者参与（应答率75%）。由一名对其治疗细节不知情的调查员向他们询问相同的七个问题，并记录他们的回答。
样本包括248名（96%）女性和10名（4%）男性。只有7人（3%）对其阑尾状况的回答错误。然而，108人（42%）对其出院诊断的回答错误。71名患者（28%）对他们在住院期间收到的信息不满意。年龄、是否发现病理情况、不满程度或手术类型均未被发现对患者对诊断的记忆有显著影响。
我们发现，在我们机构进行诊断性腹腔镜检查的患者出院时往往不满意，并且对其出院诊断了解不足。这对这些患者未来急性腹痛的评估具有重要意义，并可能导致错误信息和不必要的手术。
