Patient's satisfaction after outpatient forefoot surgery: Study of 619 cases
Patient's satisfaction after outpatient forefoot surgery: Study of 619 cases
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DOI：
10.1016/j.otsr.2015.06.004
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发表时间：
2015-10-01
影响因子：
2.3
通讯作者：
Graff, W.
中科院分区：
文献类型：
--
作者：
Mouton, A.;Le Strat, V.;Graff, W.
简介：在法国进行的门诊手术程序的数量在forefoot近年来迅速增长。Objectives：本研究的目的是评估的经验和满意度的病人接受门诊足部手术使用的电话问卷为此目的而开发。材料和方法：在2012年和2013年，每一个在我们医院的日间手术室接受前足开放手术的病人都在手术后的第二天早上被叫来。一名护士与患者一起完成了14项问卷。所有患者均采用相同的围手术期方案、书面指导和治疗方法。调查问卷的回答率为89%（n=540）。对319例患者（61%）进行了单独的拇外翻手术; 107例患者（20%）进行了拇外翻手术和外侧跖骨截骨术; 57例患者（10.5%）进行了第一次跖趾融合术，47例患者（8.5%）仅进行了外侧射线手术。在术后阶段，65%的患者报告睡眠质量令人满意，32%的患者出现恶心，16%的患者出现呕吐，17%的患者出现出血。80%的患者出现疼痛（VAS >= 1）; 80%的患者通过处方治疗缓解了疼痛，4%的患者未接受治疗。几乎所有患者（99%）对门诊护理感到满意;总体满意度评分为9.4（满分10分）。有一个显着的关系之间的类型的程序和呕吐，疼痛，出血和fever.Discussion：门诊护理越来越普遍，以应对经济的挑战。门诊足部手术的发展似乎已经满足了绝大多数手术患者。然而，应进行调整，以提高他们对疼痛管理协议的耐受性。虽然进行随访电话的后勤工作可能很复杂，但患者很高兴第二天能接到这个电话。这一呼吁似乎也让病人和护理人员放心。(C)2015年Elsevier Masson SAS。All rights reserved.
Introduction: The number of outpatient surgical procedures performed in France on the forefoot has grown rapidly in recent years.Objectives: The goal of this study was to evaluate experience and satisfaction of patients undergoing outpatient foot surgery using a telephone questionnaire developed for this purpose.Material and methods: In 2012 and 2013, every patient who was admitted to the day surgery unit at our hospital for an open procedure on their forefoot was called the morning after the procedure. A nurse went through the 14-item questionnaire with the patient. The same perioperative protocol, written instructions and treatment were used for all patients.Results: Six hundred nineteen patients were included. The questionnaire response rate was 89% (n=540). Isolated hallux valgus surgery was performed on 319 patients (61%); 107 patients (20%) underwent hallux valgus surgery with lateral metatarsal osteotomy; 57 patients (10.5%) underwent first metatarsophalangeal fusion and 47 patients (8.5%) underwent a procedure on the lateral rays only. In the postoperative phase, 65% reported having satisfactory sleep quality, 32% had experienced nausea, 16% had experienced vomiting and 17% had experienced bleeding. Eighty percent of patients experienced pain (VAS >= 1); 80% of these patients had their pain relieved by the prescribed treatment and 4% had not taken it. Nearly all the patients (99%) were satisfied with the outpatient care; the overall satisfaction score was 9.4 out of 10. There was a significant relationship between the type of procedure and vomiting, pain, bleeding and fever.Discussion: Outpatient care is becoming more common in response to economic challenges. The development of outpatient foot surgery appears to have satisfied the vast majority of operated patients. However, adjustments should be made to improve their tolerance to the pain management protocol. Although the logistics of performing follow-up call can be complicated, the patients appreciate receiving this call the next day. The call also seems to reassure both the patients and care providers. (C) 2015 Elsevier Masson SAS. All rights reserved.