Majer James, Valentine Safire, Warren Jaimee, Grant Nicole, Sri-Ganeshan Muhuntha, Jermakoff Anton, Cooper Blake, Knott Jonathan C, Taylor David McD
Barwon Health, Geelong, Victoria, Australia.
Box Hill Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2021 Apr;33(2):242-249. doi: 10.1111/1742-6723.13600. Epub 2020 Aug 25.
To assess patient satisfaction with laceration management, post-ED care, cosmesis and complication rates.
We undertook a prospective observational study of adult patients with lacerations sutured in two EDs over a 4-month period. ED data included participant demographics, laceration characteristics and management. A telephone survey was undertaken approximately 14 days post-ED discharge. Patient satisfaction with post-ED pain management, advice on wound care and follow up, overall management and wound cosmesis were evaluated using a six-item satisfaction scale (very dissatisfied to very satisfied). Details of wound infection, dehiscence and suture failure were recorded.
Eighty-nine patients participated. The number (% [95% confidence interval]) of patients very satisfied with their laceration management were: post-ED pain management 55 (62.5% [51.5-72.4]), wound care advice 51 (57.3% [46.4-67.6]), follow-up advice 39 (43.8% [33.5-54.7]), overall management 61 (68.5% [57.7-77.7]) and cosmetic appearance 46 (51.7% [40.9-62.3]). Infection, dehiscence and suture failure occurred in 5 (5.6%), 8 (9.0%) and 8 (9.0%) cases, respectively. These complications were not associated with being very satisfied overall (P = 0.96). Patients very satisfied with post-ED pain management, wound care advice, follow-up advice or wound cosmesis were much more likely to be very satisfied overall (P < 0.001).
Most patients are very satisfied with their laceration management. However, there is scope for improvement, especially for follow-up and wound care advice. Complications are infrequent and not associated with overall satisfaction.
评估患者对裂伤处理、急诊后护理、美容效果及并发症发生率的满意度。
我们对在4个月期间于两家急诊科接受裂伤缝合的成年患者进行了一项前瞻性观察研究。急诊数据包括参与者的人口统计学信息、裂伤特征及处理情况。在急诊出院约14天后进行电话调查。使用一个六项满意度量表（从非常不满意到非常满意）评估患者对急诊后疼痛管理、伤口护理建议及随访、整体处理和伤口美容效果的满意度。记录伤口感染、裂开及缝线失败的详细情况。
89名患者参与。对裂伤处理非常满意的患者数量（% [95%置信区间]）为：急诊后疼痛管理55名（62.5% [51.5 - 72.4]），伤口护理建议51名（57.3% [46.4 - 67.6]），随访建议39名（43.8% [33.5 - 54.7]），整体处理61名（68.5% [57.7 - 77.7]），美容外观46名（51.7% [40.9 - 62.3]）。感染、裂开及缝线失败分别发生在5例（5.6%）、8例（9.0%）和8例（9.0%）。这些并发症与总体非常满意无关（P = 0.96）。对急诊后疼痛管理、伤口护理建议、随访建议或伤口美容效果非常满意的患者更有可能总体非常满意（P < 0.001）。
大多数患者对其裂伤处理非常满意。然而，仍有改进空间，尤其是在随访和伤口护理建议方面。并发症发生率较低且与总体满意度无关。
