Al-Abbadi Hatim A, Basharaheel Hadeel A, Alharbi Maram R, Alharbi Hanin A, Sindi Dalia, Bamatraf Marwa
Surgery, King Abdulaziz University Hospital, Jeddah, SAU.
General Surgery, King Abdulaziz University Hospital, Jeddah, SAU.
Cureus. 2019 Nov 16;11(11):e6171. doi: 10.7759/cureus.6171.
Background Patients need to be educated and all possible treatment alternatives should be explored. Patients should be given options that they can choose from based on their demographic information, clinical information, and possible options for treating a given issue. This is especially true in elective surgery. The concept of safety plays a major part in every field, particularly in medicine. The patient's safety is a key factor for a better experience and a better outcome. Objective This study aims to determine patient perceptions of surgical safety with an emphasis on surgical team interaction throughout the phases of care. Methods A descriptive cross-sectional prospective study was conducted at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Patients undergoing elective surgery and hospitalized for more than 24 hours were asked to give their opinions regarding interactions between them and the surgical teams, including the nurses, anesthesiologists, and surgeons who operated on them. Only patients aged 18 or above were included in the sample. The analysis was carried out using the IBM Statistical Package for Social Sciences (SPSS), version 25 (IBM SPSS Statistics, Armonk, NY). Results More than 70% of the study respondents had had more than one surgery. One hundred and ten of the study respondents said that the specific surgeons who attended to them encouraged them to ask questions. The majority of the respondents (76.7%) said that the surgical team gave them definite physical comfort, while the rest (23.3%) stated that they got somewhat less physical comfort from the surgical team. The average rating of the satisfaction pre-surgery was mean (M) = 8.51, standard deviation (SD) = 1.9, (95% confidence interval (CI): 8.19 - 8.83) while the average satisfaction rating for postoperative care was M = 9.05, SD = 1.35, (95% CI: 8.82 - 9.27). Conclusions Most patients valued surgeon-patient interaction as it was seen to reduce pre-surgery anxiety, helped in giving options, and improved the patient's overall understanding of the surgical procedure. Surgical teams are generally highly rated in terms of overall service pre- and post-surgery.
背景 患者需要接受教育，应探索所有可能的治疗方案。应根据患者的人口统计学信息、临床信息以及针对特定问题的可能治疗方案，为患者提供可供选择的方案。在择期手术中尤其如此。安全概念在各个领域都起着重要作用，尤其是在医学领域。患者安全是获得更好体验和更好结果的关键因素。
目的 本研究旨在确定患者对手术安全的认知，重点关注整个护理阶段的手术团队互动。
方法 在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王大学医院进行了一项描述性横断面前瞻性研究。对接受择期手术并住院超过24小时的患者，询问他们对与手术团队（包括护士、麻醉师和为其手术的外科医生）之间互动的看法。样本仅包括18岁及以上的患者。使用IBM社会科学统计软件包（SPSS）第25版（IBM SPSS Statistics，纽约州阿蒙克）进行分析。
结果 超过70%的研究受访者接受过不止一次手术。110名研究受访者表示，照顾他们的特定外科医生鼓励他们提问。大多数受访者（76.7%）表示手术团队给予了他们明确的身体舒适感，而其余（23.3%）表示他们从手术团队获得的身体舒适感稍少。术前满意度的平均评分为均值（M）=8.51，标准差（SD）=1.9，（95%置信区间（CI）：8.19 - 8.83），而术后护理的平均满意度评分为M = 9.05，SD = 1.35，（95%CI：8.82 - 9.27）。
结论 大多数患者重视医患互动，因为它被认为可以减少术前焦虑、有助于提供选择并提高患者对手术过程的整体理解。手术团队在术前和术后的整体服务方面通常得到高度评价。
