Fouogue Jovanny Tsuala, Tchounzou Robert, Fouelifack Florent Ymele, Fouedjio Jeanne Hortence, Dohbit Julius Sama, Sando Zacharie, Mboudou Emile Telesphore
Douala Gynaeco-Obstetric and Pediatric Hospital, Douala, Cameroon.
Higher Institute of Medical Technology, Yaoundé, Cameroon.
Pan Afr Med J. 2017 Nov 8;28:216. doi: 10.11604/pamj.2017.28.216.11441. eCollection 2017.
Access to laparoscopy is low in Cameroon where customers' satisfaction has not been reported so far. We assessed patients' satisfaction with the process of care during laparoscopic surgery in a new tertiary hospital.
A questionnaire was addressed to consenting patients (guardians for patients under 18) with complete medical records who underwent laparoscopy at the Douala Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from November 1, 2015 to July 31, 2016. The following modified Likert's scale was used to assess satisfaction: very weak: 0-2.5; weak 2.6-5; good: 5.1-7.5; very good: 7.6-10. Only descriptive statistics were used.
Response rate was 90% (45/50). Of the 45 respondents, 39 (86.7%) were female, 14(31.1%) were referred and 39 (86.7%) paid by direct cash deposit. Mean age was 36.8±11.9 years. Laparoscopies were carried out in emergency for 3 (6.7%) patients. Digestive abnormalities indicated 13 (28.9%) laparoscopies while gynaecologic diseases accounted for 32 (71.1%) cases. Perception of the overall care process was good with a mean satisfaction score of 6.8 ± 1.4. Scores in categories were: 0% (Very weak); 13.3% (weak); 57.8% (good) and 28.9% (very good). Specifically mean satisfaction scores were: 7.8 ± 1.0 with doctors' care; 7.1 ± 1.3 with hospital administration; 7.0 ± 1.2 with nursing and 4.7 ± 1.4 with the costs. Main complaints were: long waiting time (73.3%), constraining geographical access (66.7%) and expensiveness (48.9%).
Patients were globally satisfied with the process of care but financial and geographical barriers should be addressed.
在喀麦隆，腹腔镜检查的可及性较低，且目前尚无关于患者满意度的报道。我们在一家新建的三级医院评估了患者对腹腔镜手术护理过程的满意度。
向2015年11月1日至2016年7月31日期间在喀麦隆杜阿拉妇产科和儿科医院接受腹腔镜检查、有完整病历且同意参与的患者（18岁以下患者的监护人）发放问卷。采用以下改良的李克特量表评估满意度：非常差：0 - 2.5；差：2.6 - 5；好：5.1 - 7.5；非常好：7.6 - 1至0。仅使用描述性统计方法。
回复率为90%（45/50）。在45名受访者中，39名（86.7%）为女性，14名（31.1%）是转诊而来，39名（86.7%）通过直接现金存款支付费用。平均年龄为36.8±11.9岁。3名（6.7%）患者在急诊情况下接受了腹腔镜检查。消化系统异常占13例（28.9%）腹腔镜检查，而妇科疾病占32例（71.1%）。对整体护理过程的感知良好，平均满意度评分为6.8±1.4。各类别得分情况为：0%（非常差）；13.3%（差）；57.8%（好）和28.9%（非常好）。具体而言，对医生护理的平均满意度评分为7.8±1.0；对医院管理的评分为7.1±1.3；对护理的评分为7.0±1.2；对费用的评分为4.7±1.4。主要抱怨包括：等待时间长（73.3%）、地理位置不便（66.7%）和费用昂贵（48.9%）。
患者总体上对护理过程感到满意，但应解决经济和地理障碍问题。
