Potthoff A, Strasser G, Thurmayr R, Henschker R, Potthoff P, Von Hugo R
Geburtshilfe Frauenheilkd. 1987 Jun;47(6):417-21. doi: 10.1055/s-2008-1036148.
The effects of gynaecological operations on the well-being and satisfaction of patients can be viewed as important supplements to quality assurance which is mainly based on clinical parameters and medical ratings. In the present study 215 patients undergoing gynaecological operations assessed different components of their subjective health status at times of admission to the hospital, at discharge and six weeks after discharge. Additionally, the patients gave satisfaction ratings at discharge. The study resulted in demonstrating considerable improvements of complaints and well-being that continued into the postdischarge period. The improvements were most pronounced in the cases of patients with vaginal hysterectomy. Satisfaction with the hospital department was high, especially with regard to the care given by the physicians and the nurses. After mastectomy, women expressed problems with their self-image and with their partners. Considerations to take the results of the study into account for quality assurance are discussed.
妇科手术对患者幸福感和满意度的影响可被视为质量保证的重要补充,质量保证主要基于临床参数和医学评级。在本研究中,215名接受妇科手术的患者在入院时、出院时和出院六周时评估了其主观健康状况的不同组成部分。此外,患者在出院时给出了满意度评分。研究结果表明,患者的不适和幸福感有显著改善,且这种改善持续到出院后时期。在接受阴道子宫切除术的患者中,改善最为明显。对医院科室的满意度较高,尤其是对医生和护士提供的护理。乳房切除术后,女性在自我形象和与伴侣的关系方面表达了问题。文中讨论了将研究结果纳入质量保证考量的相关问题。