COVID-19 期间的围手术期患者体验。
The Perioperative Patient Experience During COVID-19.
机构信息
Department of Surgery, 2345Medical University of South Carolina, Charleston, SC, USA.
出版信息
Am Surg. 2022 Mar;88(3):498-506. doi: 10.1177/00031348211061100. Epub 2021 Dec 29.
BACKGROUND
Access to elective surgical procedures has been impacted by the COVID-19 pandemic.
METHODS
We sought to understand the patient experience by developing and distributing an anonymous online survey to those who underwent non-emergency surgery at a large academic tertiary medical center between March and October 2020.
RESULTS
The survey was completed by 184 patients; the majority were white (84%), female (74.6%), and ranged from 18 to 88 years old. Patients were likely unaware of case delay as only 23.6% reported a delay, 82% of which agreed with that decision. Conversely, 44% felt that the delay negatively impacted their quality of life. Overall, 82.7% of patients indicated high satisfaction with their care. African American patients more often indicated a "neutral" vs "satisfactory" hospital experience ( < .05) and considered postponing their surgery ( < .01). Interestingly, younger patients (<60) were more likely than older (≥60) patients to note anxiety associated with having surgery during the pandemic ( < .01), feeling unprepared for discharge ( < .02), not being allowed visitors ( < .02), and learning about the spread of COVID-19 from health care providers ( < .02).
DISCUSSION
These results suggest that patients are resilient and accepting of changes to health care delivery during the current pandemic; however, certain patient populations may have higher levels of anxiety which could be addressed by their care provider. These findings can help inform and guide ongoing and future health care delivery adaptations in response to care disruptions.
背景
COVID-19 大流行影响了择期手术的开展。
方法
我们旨在通过开发并向 2020 年 3 月至 10 月在一家大型学术三级医疗中心接受非紧急手术的患者分发匿名在线调查来了解患者体验。
结果
调查完成于 184 名患者；大多数为白人（84%），女性（74.6%），年龄在 18 至 88 岁之间。仅 23.6%的患者报告存在手术延迟，且只有 82%的患者同意该决定，这表明患者可能对病例延误并不知情。相反，44%的患者认为手术延迟对他们的生活质量产生负面影响。总体而言，82.7%的患者对他们的护理表示高度满意。非裔美国患者更常表示对医院体验“中立”而非“满意”（<0.05），并倾向于考虑推迟手术（<0.01）。有趣的是，与老年（≥60 岁）患者相比，年轻（<60 岁）患者更有可能在大流行期间感到与手术相关的焦虑（<0.01），对出院准备不足（<0.02），不允许访客（<0.02）以及从医疗保健提供者处了解 COVID-19 的传播（<0.02）。
讨论
这些结果表明，在当前大流行期间，患者对医疗保健提供方式的变化具有较强的适应力和接受度；然而，某些患者群体可能存在更高的焦虑水平，这可以通过其护理提供者来解决。这些发现可以帮助为应对护理中断提供信息和指导当前和未来的医疗保健提供方式的调整。
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