Amana Essobiziou, Foma Winga, Nassou Guemessou, Ananidjin Gérémie, Amana Bathokédéou
Service d'oto-rhino-laryngologie, Centre hospitalier universitaire, Sylvanus Olympio de Lomé, Togo.
Med Trop Sante Int. 2025 Jan 29;5(1). doi: 10.48327/mtsi.v5i1.2025.638. eCollection 2025 Mar 31.
To evaluate the satisfaction of patients surgically treated in a Otolaryngology Department in a developing country. This survey was caried out from consultation to surgical management in the Sylvanus Olympio University Hospital in Lomé.
Cross-sectional study from December 1, 2022 to November 30, 2023, a period of one year. People included were the patients or relatives for under 18 years of age who gave their consent, seen by the surgical team and operated on in the department during this period. The parameters assessed by a closed self-administered questionnaire were related to satisfaction from admission to diagnosis, from preoperative evaluation to the day before surgery, from the day of surgery to the end of hospitalization, and finally to discharge formalities. The data were analyzed and processed using Epi info 7.2.5.0 software.
One hundred and twelve individuals, including fifteen relatives, met the survey criteria (70.4%). The mean age was 41 years, with extremes of 19 and 76 years. The participants had a secondary education level in 59.5% of the cases. They were shopkeepers and housewives in 26.8% and 24.1% of cases, respectively. Thyroidectomy was the most common type of surgery, performed in 43.7% of cases. From admission to diagnosis, 66.1% of patients found the service satisfactory, while 12.5% found it very poor. From the preoperative examination to the day before surgery, this examination and the purchase of prescriptions were judged to be poor in 33.9% and 40.2% of cases, respectively. From the day of the operation to discharge, the quality of the sanitary facilities and of the hospital ward was poor in 44.6% and 54.4% of cases, respectively. Participants were satisfied with the quality of visits (58.9%), behavior of medical-surgical team in the operating room (30.4%), follow-up information and surgical procedure in all cases.
Dissatisfaction of patients and their relatives exists at all levels, administrative and medical. More efforts need to be done in our department to improve the quality of care.
评估在一个发展中国家的耳鼻喉科接受手术治疗的患者的满意度。这项调查在洛美市的西尔瓦努斯·奥林匹奥大学医院从咨询到手术管理阶段开展。
2022年12月1日至2023年11月30日进行了为期一年的横断面研究。纳入的人群为在此期间经手术团队诊治并在该科室接受手术的18岁以下患者或其亲属，且他们已签署同意书。通过封闭式自填问卷评估的参数与从入院到诊断、从术前评估到手术前一天、从手术当天到住院结束以及最后到出院手续等阶段的满意度相关。使用Epi info 7.2.5.0软件对数据进行分析和处理。
112人（包括15名亲属）符合调查标准（70.4%）。平均年龄为41岁，年龄范围在19岁至76岁之间。59.5%的参与者具有中学教育水平。分别有26.8%和24.1%的参与者是店主和家庭主妇。甲状腺切除术是最常见的手术类型，占43.7%。从入院到诊断，66.1%的患者对服务感到满意，而12.5%的患者认为服务非常差。从术前检查到手术前一天，分别有33.9%和40.2%的患者认为该项检查和购买处方情况较差。从手术当天到出院，分别有44.6%和54.4%的患者认为卫生设施和医院病房质量较差。参与者对就诊质量（58.9%）、手术团队在手术室的行为（30.4%）、随访信息以及所有病例中的手术操作感到满意。
患者及其亲属在行政和医疗的各个层面都存在不满。我们科室需要做出更多努力来提高护理质量。
