Williams Sarah, Williams James, Tcherveniakov Peter, Milton Richard
Department of Thoracic Surgery, St James' University Hospital, Leeds, UK.
Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):729-33. doi: 10.1093/icvts/ivs056. Epub 2012 Mar 8.
Nurse-led clinics are an increasingly used resource in managing postoperative patients and meeting their clinical needs. Since 2007, St James' University Hospital has run a ward-based nurse-led clinic; providing follow-up and management of patients after thoracic surgery. We aimed to assess patient satisfaction with the clinic's ability to manage their postoperative needs. Data were collected prospectively from patients attending the clinic between July and August 2010 using structured patient questionnaires. We evaluated 83 patient feedback questionnaires. The reasons for clinic attendance were predominantly wound assessment and chest drain review. Fifty-four (65%) patients were managed without seeing a doctor, of whom only four (7%) believed seeing a doctor would have been beneficial. Seventy-three (88%) patients stated their needs were met in the clinic and 82 (99%) patients described the overall care they received as good, very good or excellent. This survey highlights that patients are satisfied with a nurse-led service and will hopefully help encourage the development of such services within thoracic surgery.
由护士主导的诊所正日益成为管理术后患者并满足其临床需求的一种资源。自2007年以来，圣詹姆斯大学医院运营了一个以病房为基础、由护士主导的诊所，为胸外科手术后的患者提供随访和管理。我们旨在评估患者对该诊所满足其术后需求能力的满意度。2010年7月至8月期间，使用结构化患者问卷对前来该诊所就诊的患者进行了前瞻性数据收集。我们评估了83份患者反馈问卷。就诊的主要原因是伤口评估和胸腔引流复查。54名（65%）患者在未看医生的情况下得到了处理，其中只有4名（7%）患者认为看医生会有帮助。73名（88%）患者表示他们在诊所的需求得到了满足，82名（99%）患者将他们所接受的整体护理描述为良好、非常好或优秀。这项调查凸显出患者对由护士主导的服务感到满意，有望有助于推动胸外科此类服务的发展。
