Catheter ablation of atrial fibrillation-patient satisfaction from a single-center UK experience
Catheter ablation of atrial fibrillation-patient satisfaction from a single-center UK experience
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DOI：
10.1007/s10840-012-9763-5
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发表时间：
2013-09-01
影响因子：
1.8
通讯作者：
Segal, Oliver R.
中科院分区：
文献类型：
--
作者：
Ezzat, Vivienne A.;Chew, Anastasia;Segal, Oliver R.
患者满意度是护理质量的指标，也是患者选择医疗保健的关键因素。虽然房颤消融术现在很常见，但没有关于患者在此过程中满意度的公开数据。匿名患者满意度问卷在一个中心分发给连续6个月的房颤消融患者。在101份问卷中，51%与首次手术有关。术前临床经验良好。消融术前，53%的患者报告收到信息传单，而55%的患者报告使用互联网搜索更多信息。术前10分量表的平均焦虑为3.1 +/- 2.9，97%的患者感到准备就绪。然而，之后，31%的人发现这种经历并不像预期的那样，主要是因为更痛苦或更清醒。尽管使用了清醒镇静，但大量患者仍详细回忆了手术过程。大多数患者（79%）的导管室总体经验为良好或极好。患者在术后即刻感觉不如预期，并且在消融术后即刻（24%）和在家（32%）感觉并发症发生率高于医生报告的并发症发生率（4.5%）。尽管如此，89%的患者会向朋友或亲戚推荐房颤消融术，96%的患者会推荐我们的机构。我们的研究结果表明，大多数患者对房颤消融术感到满意，但这不仅仅取决于手术的成功。不满意是由于预期未得到满足，特别是过度疼痛，即在消融期间和消融后超过预期。改进的同意过程可以改善患者体验。医生还应采取措施减少房颤消融术期间的疼痛。
Patient satisfaction is an indicator of quality of care and a key factor for patients' healthcare choices. Although atrial fibrillation (AF) ablation is now common, there are no published data on patient satisfaction during this procedure.Anonymous patient satisfaction questionnaires were distributed to consecutive AF ablation patients over 6 months at a single center.Of 101 questionnaires returned, 51 % related to a first procedure. Pre-operative clinic experiences were good. Prior to ablation, 53 % reported receiving information leaflets, while 55 % reported using the Internet to search for further information. Mean anxiety pre-procedurally on a ten-point scale was 3.1 +/- 2.9 and 97 % of patients felt prepared. Afterwards, however, 31 % found the experience not as expected, mainly due to being in more pain or more awake. A large number of patients recalled the procedure in detail, despite use of conscious sedation. Overall cath lab experience was good or excellent for the majority (79 %). Patients felt less well than expected immediately post-procedure and perceived a higher complication rate immediately after ablation (24 %) and at home (32 %) than reported by physicians (4.5 %). Despite this, 89 % would recommend an AF ablation to a friend or relative, and 96 % would recommend our institution.Our findings suggest that most patients are satisfied with the AF ablation experience, but this is not solely dependent on procedural success. Dissatisfaction occurs due to unmet expectations, particularly excess pain, i.e. greater than expected, during and after ablation. An improved consent process may improve patient experience. Physicians should also address initiatives to reduce pain during AF ablation.