Rasool Shahid, Ahmed Shahid, Siddiqui Shaheer, Salih Mohammad, Jafri Wasim, Hamid Saeed
Departments of Medicine, Section of Gastroenterology, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2010 Dec;60(12):990-5.
To assess the quality of gastrointestinal (GI) endoscopic procedures and patient satisfaction in endoscopy suite of South Asian country.
Patients coming to the endoscopic suite of Aga Khan University Hospital (AKUH) were interviewed and assessed in this cross-sectional study. Quality of GI endoscopic procedures was evaluated using assessment tools as suggested by The American Society of Gastroenterology. Patient satisfaction after the procedure was assessed using a modified GHAA-9 questionnaire. The questionnaire was statistically evaluated using Pareto analysis and Spearman rank correlation.
In this study, 323 patients were evaluated with a mean age of 43 +/- 14.36 years. Out of all the procedures 251 (77.7%) were gastroscopies while 72 (22.3%) were colonoscopies. Patients undergoing different therapeautic procedures were 121 in number (37.46%). Pre-procedure education was rated as excellent or very good by 91.3% of the patients. Midazolam was used for sedation with an average dose of 3 mg. Technically successful procedures included 99.2% gastroscopies and 98.6% colonoscopies. Mean score of patients regarding satisfaction on mGHAA-9 questionnaire was 30 +/- 3.965. Patient dissatisfaction calculated in our study was 3.6% with the length of time spent waiting before procedure and length of time waiting to get an appointment for the procedure contributing to 90% of dissatisfaction.
Quality of endoscopic procedures at our centre is at par with international standards with acceptable complication rate and good patient satisfaction.
评估南亚国家内镜检查室胃肠道（GI）内镜检查的质量及患者满意度。
在这项横断面研究中，对前来阿迦汗大学医院（AKUH）内镜检查室的患者进行了访谈和评估。采用美国胃肠病学会建议的评估工具评估GI内镜检查的质量。使用改良的GHAA - 9问卷评估检查后患者的满意度。使用帕累托分析和斯皮尔曼等级相关性对问卷进行统计学评估。
本研究共评估了323例患者，平均年龄为43±14.36岁。在所有检查中，251例（77.7%）为胃镜检查，72例（22.3%）为结肠镜检查。接受不同治疗性检查的患者有121例（37.46%）。91.3%的患者对术前教育的评价为优秀或非常好。使用咪达唑仑进行镇静，平均剂量为3mg。技术上成功的检查包括99.2%的胃镜检查和98.6%的结肠镜检查。患者在mGHAA - 9问卷上的满意度平均得分为30±3.965。我们的研究中计算出的患者不满意率为3.6%，术前等待时间和预约检查等待时间导致了90%的不满意。
我们中心内镜检查的质量与国际标准相当，并发症发生率可接受，患者满意度良好。
