Department of General Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Yale University School of Medicine, New Haven, Connecticut, USA.
J Card Surg. 2021 Oct;36(10):3731-3737. doi: 10.1111/jocs.15875. Epub 2021 Aug 2.
The Coronavirus 19 (COVID-19) pandemic forced an unprecedented shift of postoperative care for cardiac surgery patients to telemedicine. How patients and surgeons perceive telemedicine is unknown. We examined patient and provider satisfaction with postoperative telehealth visits following cardiac surgery.
Between April 2020 and September 2020, patients who underwent open cardiac surgery and had a postoperative appointment via telemedicine were administered a patient satisfaction survey over the phone. Time of survey administration ranged from 1 to 4 weeks following their appointment. Surgeons also completed a satisfaction survey following each telemedicine appointment they conducted.
Fifty patients were surveyed. Of these, 36 (72%) had a postoperative appointment over the telephone, and 14 (28%) had a postoperative appointment via video-chat. Overall, patients expressed satisfaction with the care that they received via our two telemedicine modalities (mean Likert scale agreement 4.8, SD 0.5). Despite this, 46% of patients said they would prefer their next postoperative appointment to be via telemedicine even if there was not a stay-at-home order in place. All surgeons surveyed reported (agree/strongly agree) that they would prefer to see their postoperative patients using telemedicine.
These findings highlight acceptability of continuing telemedicine use in the postoperative care of cardiac surgery patients.
新冠病毒（COVID-19）大流行迫使心脏外科患者的术后护理前所未有地转向远程医疗。患者和外科医生对远程医疗的看法尚不清楚。我们检查了心脏手术后远程医疗随访后患者和提供者的满意度。
在 2020 年 4 月至 2020 年 9 月期间，接受过开放心脏手术并通过远程医疗进行术后预约的患者通过电话接受了患者满意度调查。调查管理时间从预约后 1 周到 4 周不等。每位外科医生在进行每次远程医疗预约后也完成了满意度调查。
共有 50 名患者接受了调查。其中，36 名（72%）通过电话进行了术后预约，14 名（28%）通过视频聊天进行了术后预约。总的来说，患者对通过我们的两种远程医疗模式接受的护理表示满意（平均李克特量表同意度为 4.8，标准差为 0.5）。尽管如此，46%的患者表示，如果没有居家令，他们希望下一次术后预约通过远程医疗进行。所有接受调查的外科医生都报告（同意/强烈同意）他们希望使用远程医疗来查看术后患者。
这些发现突出了在心脏外科患者的术后护理中继续使用远程医疗的可接受性。
