Patient Preference and Adherence (Mar 2019)
A cross-sectional study to assess the difference in perception of day surgery information between patients and medical staff in China
Abstract
Xiaoqian Deng,1,* Shuqing Liang,2,* Hui Li,1 Divakara Gouda,3 Tao Zhu,1 Kun Xiao4 1Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan, People’s Republic of China; 2Department of Anesthesiology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China; 3University of Pennsylvania, Philadelphia, PA, USA; 4School of Information and Software Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, People’s Republic of China *These authors contributed equally to this work Purpose: The development of day surgery in China is still in its infancy. The aim of this study is to examine the difference in perception between patients and medical staff about day surgery and to find out what kind of information should be delivered to patients perioperatively. Methods: The study was designed as a cross-sectional study using survey questionnaires. Patients undergoing day surgery and medical staff working in the day surgery center received a preoperative teaching questionnaire (PTQ). The PTQ consisted of preoperative, operative, postoperative and anesthesia information. Participants were asked to rate accurately what day surgery information they perceived as important on a five-point Likert-type scale that ranged from very important to not important. The main outcome was the value patients and staff place on perioperative information. Results: For patients, details of anesthesia (82.6%) was the most important day surgery information, while for medical staff, preoperative (58.1%), postoperative (60.7%) and anesthesia (60.0%) information were of the same importance. Patients ranked surgery effect (83.3%) and pain management (82.5%) as two of the top five most important details about day surgery, but these were not listed in the top 5 rankings of staff. Student’s t-test results of mean rankings also showed that patients placed more importance on surgery effect (4.8±0.6, 4.6±0.6, P=0.036) and pain management (4.8±0.5, 4.5±0.5, P=0.031) than the medical staff did. Conclusion: In China, day surgery is an emerging practice with both patients and medical practitioners still lacking experience, so high-quality perioperative teaching is necessary and important. Our study examining patients and staffs’ views on day surgery information should be considered when developing perioperative teaching programs. To increase patient satisfaction of the day surgery experience, delivery of patient-specific information tailored to individual circumstances is necessary. Keywords: day surgery, perception, perioperative teaching, anesthesia, pain management
