Bin Traiki Thamer A, AlShammari Sulaiman A, AlAli Mohammed N, Aljomah Nadia A, Alhassan Noura S, Alkhayal Khayal A, Al-Obeed Omar A, Zubaidi Ahmad M
Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, 11461, Saudi Arabia.
Ann Med Surg (Lond). 2020 Oct;58:14-19. doi: 10.1016/j.amsu.2020.08.020. Epub 2020 Aug 21.
The objective of this study was to evaluate the impact of the COVID-19 pandemic on patient satisfaction and surgical outcomes at King Khalid University Hospital in Saudi Arabia.
The COVID-19 pandemic has greatly affected health care systems across developing and developed countries. Therefore, it is important to understand its impact on various parameters of patient care as regards revised infrastructure and policies in hospitals during the pandemic.
It is a retrospective cross-sectional study was conducted from 13-3-2020 to 26-4-2020 at King Khalid University Hospital in Saudi Arabia. Patient satisfaction and surgical outcomes were the main outcome measures.
331 participants were included in the study (median age: 53 years; 70% female), and 223 completed the patient's satisfaction survey. 260 of the surgeries were non-oncolog cases (78.6%) compared to 71 oncology cases (21.4%). With respect to the surgical outcomes, 12% of the patients required admission to the ICU, and 10.9% developed postoperative complications, most of which were infectious complications. Only 1.8% (6 patients) were re-admitted to the hospital. Three patients died within 30 days post-op (0.9%), all had emergency surgery. Regarding patient satisfaction, 77.6% and 93% of the patients reported that nurses and doctors, respectively, treated them with courtesy and respect, listened to them carefully, and provided clear explanations to them. 90.3% were satisfied with the hospital sanitary measures. 64.1% stated that they got written instructions at the time of discharge.
The satisfaction level of patients was high for all the studied domains, and there were a small number of complications with overall good surgical outcomes. That indicates that all the actions and policies that were implemented during the pandemic were proven beneficial for the patients. It is recommended to continue those measures until the COVID-19 pandemic is over.
本研究的目的是评估新冠疫情对沙特阿拉伯哈立德国王大学医院患者满意度和手术结果的影响。
新冠疫情对发展中国家和发达国家的医疗系统都产生了巨大影响。因此,了解疫情期间医院基础设施和政策修订后,其对患者护理各项参数的影响非常重要。
这是一项回顾性横断面研究,于2020年3月13日至2020年4月26日在沙特阿拉伯哈立德国王大学医院进行。患者满意度和手术结果是主要的观察指标。
331名参与者纳入研究(中位年龄:53岁;70%为女性),223人完成了患者满意度调查。260例手术为非肿瘤病例(78.6%),71例为肿瘤病例(21.4%)。关于手术结果,12%的患者需要入住重症监护病房,10.9%发生术后并发症,其中大多数为感染性并发症。仅1.8%(6例患者)再次入院。3例患者术后30天内死亡(0.9%),均为急诊手术。关于患者满意度,分别有77.6%和93%的患者表示护士和医生对他们礼貌尊重、认真倾听并给予清晰解释。90.3%的患者对医院卫生措施满意。64.1%的患者表示出院时收到了书面说明。
在所有研究领域,患者满意度较高,并发症数量较少,手术总体结果良好。这表明疫情期间实施的所有行动和政策对患者有益。建议在新冠疫情结束前继续采取这些措施。