PATIENT PERCEPTION REGARDING DAY CASE SURGICAL PROCEDURES AT PUBLIC SECTOR

Main Article Content

Smer Yasmeen
Rukhsana kousar
Mehdi Hayat khan
Mahlab Ijaz
Samina Shaheen
Rizwana Nargis

Keywords

Complications, day care surgery, perception, questionnaire, rural

Abstract

Background: Certain surgical procedures in selective patients may be performed with safety and effectiveness ensuring same day return of the patients to their homes which might prove helpful in reducing the existing burden on healthcare facilities. This research was aimed to assess the patient perception regarding day case surgical procedures at a public sector healthcare center of South Punjab, Pakistan.


Methods: This descriptive, cross-sectional study was conducted at the Surgery and Ophthalmology Units of Bahawal Victoria Hospital, Bahawalpur Pakistan, in December 2022. We analyzed patients of both genders aged up to 70 years from general surgery or ophthalmology department as cases of elective surgery. Review visits were scheduled on 10th post-operative day for stitches removal, detail questionnaire about patient condition after surgery and for the evaluation and management of any complications. Ten questions were asked to assess patient perception regarding day case surgical procedures.


Results: In a total of 70 cases analyzed in this study, 35 (50.0%) were male. The mean age of the patients was 42.17±18.33 year. There were 45 (64.3%) patients who belonged to rural areas of residence. All patients (100%) were satisfied about the preoperative examination and explanation as well as guidance for post-surgery complications. There were 34 (48.6%) patients who reported that waiting time before the surgery was too long.


Conclusion: Response of patients regarding their perception about the day case surgical procedures was very good. Day case surgery among selective patients could be cost-effective and safe.

Abstract 135 | pdf Downloads 42

References

1. Zhuang M, Fan W, Xie P, Yuan ST, Liu QH, Zhao C. Evaluation of the safety and quality of day-case cataract surgery based on 4151 cases. Int J Ophthalmol. 2019;12(2):291-295. doi:10.18240/ijo.2019.02.17
2. Solodkyy A, Feretis M, Fedotovs A, Di Franco F, Gergely S, Harris AM. Elective "True Day Case" Laparoscopic Inguinal Hernia Repair in a District General Hospital: Lessons Learned from 1000 Consecutive Cases. Minim Invasive Surg. 2018;2018:7123754. doi:10.1155/2018/7123754
3. Alsaigh SH, Aldughaishem YM, Alhujaili HN, Alfadda TS, Almutairi M, Albulaihi JI, et al. Day Surgery Conversion: Rate and Possible Causes in King Fahad Specialist Hospital, Buraydah, Saudi Arabia. Cureus. 2021;13(12):e20790. doi:10.7759/cureus.20790
4. Kumar R, Choudhury SR, Yadav PS, Kundal R, Gupta A, Hayaran N, et al. An Analysis of Safety and Efficacy of Day-care Surgery in Children in a Tertiary Care Hospital in India. J Indian Assoc Pediatr Surg. 2021;26(3):148-152. doi:10.4103/jiaps.JIAPS_52_20
5. Campbell M, Ng D, Albatat B, Lowen D, Bird D, Hodgson R. Quality of recovery assessment of day case and multiday stay patients undergoing elective laparoscopic cholecystectomy. Turk J Surg. 2021;37(4):355-362. doi:10.47717/turkjsurg.2021.5451
6. GBD 2019 Demographics Collaborators. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1160-1203. doi:10.1016/S0140-6736(20)30977-6
7. Ojo EO, Ihezue CH, Sule AZ, Ramyil VM, Misauno MA. The scope and utilisation of day case surgery in a developing country. East Afr Med J. 2007;84(5):200-206. doi:10.4314/eamj.v84i5.9526
8. Nicoll JH, Glasg CM. The surgery of infancy. BMJ. 1909;753-754.
9. Couaghan P, Celia I, Clark I. The organization of day surgery: Recent Advances. 2005;24:37-48.
10. Athar MS, Fazal MA, Ashwood N, Arealis G, Buchanan D, Okoth FH. Daycase trauma list: a safe and cost-effective service delivery. Ann R Coll Surg Engl. 2019;101(7):519-521. doi:10.1308/rcsann.2019.0058
11. Uzair M, Wazir MK, Afridi RA, Ghani F, Ishaq M, Hussain M. Paediatric day case surgery: 3 years experience at private medical centre. Khyber J Med Sci. 2018;11(2):241-243.
12. Deng X, Liang S, Li H, Gouda D, Zhu T, Xiao K. A cross-sectional study to assess the difference in perception of day surgery information between patients and medical staff in China. Patient Prefer Adherence. 2019;13:381-387. doi:10.2147/PPA.S196674
13. Yu WP, Chen Y, Duan GM, Hu H, Ma HS, Dai Y. Patients’ perceptions of day surgery: a survey study in China surgery. Hong Kong Med J 2014;20:134–8. doi: 10.12809/hkmj133966
14. Gilmartin J, Wright K. The nurse’s role in day surgery: a literature review. Int Nurs Rev. 2007;54(2):183–190.
15. Yan D, Hongsheng M. Current status of day surgery care development in China. West China Med J. 2015;30(5):801–803.
16. Attree M. Patients' and relatives' experiences and perspectives of 'Good' and 'Not so Good' quality care. J Adv Nurs 2001;33:456-66.
17. Lemos P, Pinto A, Morais G, et al. Patient satisfaction following day surgery. J Clin Anesth 2009;21:200-5.