Division of Urology, Department of Surgery, University of Toronto, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Division of Urology, Department of Surgery, Hospital for Sick Children, Toronto, Canada.
Pediatr Surg Int. 2021 Jan;37(1):161-167. doi: 10.1007/s00383-020-04770-5. Epub 2020 Nov 2.
This study assesses whether post-operative check-in phone calls (POPC) performed within 48 h of outpatient pediatric urological surgeries by a non-medical professional (NMP) would increase patient/family satisfaction and minimize extraneous resource use by increasing email/telephone communication, while reducing emergency department (ED) visits within 30 days of that procedure.
Families of patients undergoing ambulatory pediatric urology surgeries were enrolled over 8 weeks. Group 1 did not receive POPC. Group 2 received a POPC within 48 h of their operation by a NMP. Both groups received a phone-call survey 2 weeks after surgery to assess families' perioperative satisfaction.
In total, 74 families were enrolled (Group 1 = 44, Group 2 = 31). The response rates to phone surveys for Groups 1 and 2 were 59.1% and 77.4%, respectively. POPC did not improve perioperative satisfaction, nor did it significantly promote the use of nursing email/telephone communication (19.2% vs. 4.2%, p = 0.128) or reduce ED visits (15.4% vs. 0.0%, p = 0.111). However, all families in Group 2 thought POPC was timed appropriately and 79.1% perceived it to be helpful in reducing post-operative anxiety.
POPC by a NMP within 48 h of surgery may not affect perioperative satisfaction of families of patients undergoing same-day pediatric urology surgery but may have an impact in reducing post-operative anxiety.
本研究评估了非医疗专业人员（NMP）在门诊小儿泌尿科手术后 48 小时内进行术后电话随访（POPC）是否会通过增加电子邮件/电话沟通来提高患者/家属的满意度并最小化额外资源的使用，同时减少术后 30 天内的急诊就诊次数。
在 8 周内招募接受日间小儿泌尿科手术的患者家属。第 1 组未接受 POPC。第 2 组在手术后 48 小时内由 NMP 进行 POPC。两组患者在手术后 2 周均接受电话调查，以评估家庭的围手术期满意度。
共有 74 个家庭参与了研究（第 1 组 44 个，第 2 组 31 个）。第 1 组和第 2 组的电话调查回复率分别为 59.1%和 77.4%。POPC 并未提高围手术期满意度，也没有显著促进护理电子邮件/电话沟通的使用（19.2%比 4.2%，p=0.128）或减少急诊就诊次数（15.4%比 0.0%，p=0.111）。然而，第 2 组的所有家庭都认为 POPC 的时间安排合适，79.1%的家庭认为它有助于减轻术后焦虑。
在手术 48 小时内由 NMP 进行 POPC 可能不会影响当日小儿泌尿科手术患者家属的围手术期满意度，但可能会对减轻术后焦虑产生影响。
