妇科日间手术后患者体验的定量、多中心、纵向研究。
A quantitative, multicentre, longitudinal study of patient experiences after gynaecological day surgery.
机构信息
Department of Nursing and health sciences, University of Southeastern Norway, Borre, Norway.
Department of Anaesthesia, Vestfold Hospital Trust, Tønsberg, Norway.
出版信息
Nurs Open. 2023 Mar;10(3):1536-1544. doi: 10.1002/nop2.1403. Epub 2022 Oct 9.
AIM
The aim of this study was to explore patients' experiences after gynaecological day surgery one and 30 days postoperatively, as well as potential factors influencing these experiences.
DESIGN
The study had a multicentre, quantitative, longitudinal design.
METHODS
The study was conducted in three different hospitals' day surgical unit and included patients undergoing gynaecological surgery in general anaesthesia. We used a questionnaire including the European Quality of Life tool (EQ5D3L), the Quality-of-Recovery-15 questionnaire (QoR-15) and items relating to patient experiences, the first day (T1, n = 444) and 30 days (T2, n = 193) after surgery. Data were collected in the period March 2019 to March 2020.
RESULTS
Results show that patients mainly had positive experiences and ranged quality of recovery high, even though some areas needed improvement. Patient scores on the QoR-15 relating to their experiences 24 h postoperative were rated higher at T1 than at T2. Twenty per cent of the respondents experienced complications such as infection, haemorrhage and pain. About 1/5 of these contacted healthcare services, and three per cent was hospitalized. EQ5D score was the only factor that made an statistically significant impact on patients' experiences with quality of recovery (R .169, F = 82.87). However, this effect was weak.
目的
本研究旨在探讨妇科日间手术后 1 天和 30 天患者的体验，以及影响这些体验的潜在因素。
设计
本研究采用多中心、定量、纵向设计。
方法
该研究在三个不同医院的日间手术病房进行，包括全身麻醉下进行妇科手术的患者。我们使用了一份问卷，其中包括欧洲生活质量工具（EQ5D3L）、恢复质量-15 问卷（QoR-15）以及与患者体验相关的项目，在手术后第 1 天（T1，n=444）和第 30 天（T2，n=193）进行调查。数据收集于 2019 年 3 月至 2020 年 3 月期间。
结果
结果表明，尽管某些方面需要改进，但患者的体验主要是积极的，且恢复质量较高。患者在 QoR-15 中对术后 24 小时体验的评分在 T1 时高于 T2。20%的受访者出现感染、出血和疼痛等并发症。其中约有 1/5 的人联系了医疗服务，3%的人住院治疗。EQ5D 评分是唯一对患者恢复质量体验有统计学显著影响的因素（R.169，F=82.87）。然而，这种影响很微弱。
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