Deng Xiaoqian, Liang Shuqing, Li Hui, Gouda Divakara, Zhu Tao, Xiao Kun
Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.
Department of Anesthesiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People's Republic of China.
Patient Prefer Adherence. 2019 Mar 5;13:381-387. doi: 10.2147/PPA.S196674. eCollection 2019.
The development of day surgery in China is still in its infancy. The aim of this study is to examine the difference in perception between patients and medical staff about day surgery and to find out what kind of information should be delivered to patients perioperatively.
The study was designed as a cross-sectional study using survey questionnaires. Patients undergoing day surgery and medical staff working in the day surgery center received a preoperative teaching questionnaire (PTQ). The PTQ consisted of preoperative, operative, postoperative and anesthesia information. Participants were asked to rate accurately what day surgery information they perceived as important on a five-point Likert-type scale that ranged from very important to not important. The main outcome was the value patients and staff place on perioperative information.
For patients, details of anesthesia (82.6%) was the most important day surgery information, while for medical staff, preoperative (58.1%), postoperative (60.7%) and anesthesia (60.0%) information were of the same importance. Patients ranked surgery effect (83.3%) and pain management (82.5%) as two of the top five most important details about day surgery, but these were not listed in the top 5 rankings of staff. Student's -test results of mean rankings also showed that patients placed more importance on surgery effect (4.8±0.6, 4.6±0.6, =0.036) and pain management (4.8±0.5, 4.5±0.5, =0.031) than the medical staff did.
In China, day surgery is an emerging practice with both patients and medical practitioners still lacking experience, so high-quality perioperative teaching is necessary and important. Our study examining patients and staffs' views on day surgery information should be considered when developing perioperative teaching programs. To increase patient satisfaction of the day surgery experience, delivery of patient-specific information tailored to individual circumstances is necessary.
中国日间手术的发展仍处于起步阶段。本研究旨在探讨患者与医护人员对日间手术认知的差异，并找出围手术期应向患者提供何种信息。
本研究设计为一项采用调查问卷的横断面研究。接受日间手术的患者和在日间手术中心工作的医护人员收到一份术前教育问卷（PTQ）。PTQ包括术前、术中、术后及麻醉信息。参与者被要求在从非常重要到不重要的五点李克特量表上准确评分他们认为重要的日间手术信息。主要结果是患者和医护人员对围手术期信息的重视程度。
对于患者而言，麻醉细节（82.6%）是最重要的日间手术信息，而对于医护人员，术前（58.1%）、术后（60.7%）和麻醉（60.0%）信息同等重要。患者将手术效果（83.3%）和疼痛管理（82.5%）列为日间手术最重要的五大细节中的两项，但这些未列在医护人员的前五项排名中。平均排名的学生t检验结果还显示，患者比医护人员更重视手术效果（4.8±0.6，4.6±0.6，P = 0.036）和疼痛管理（4.8±0.5，4.5±0.5，P = 0.031）。
在中国，日间手术是一种新兴的做法，患者和从业者都仍缺乏经验，因此高质量的围手术期教育是必要且重要的。在制定围手术期教育计划时，应考虑我们这项考察患者和医护人员对日间手术信息看法的研究。为提高患者对日间手术体验的满意度，提供针对个体情况的个性化信息是必要的。
