A quantitative, multicentre, longitudinal study of patient experiences after gynaecological day surgery

Abstract

Abstract Aim The aim of this study was to explore patients' experiences after gynaecological day surgery one and 30 days postoperatively, as well as potential factors influencing these experiences. Design The study had a multicentre, quantitative, longitudinal design. Methods The study was conducted in three different hospitals' day surgical unit and included patients undergoing gynaecological surgery in general anaesthesia. We used a questionnaire including the European Quality of Life tool (EQ5D3L), the Quality‐of‐Recovery‐15 questionnaire (QoR‐15) and items relating to patient experiences, the first day (T1, n = 444) and 30 days (T2, n = 193) after surgery. Data were collected in the period March 2019 to March 2020. Results Results show that patients mainly had positive experiences and ranged quality of recovery high, even though some areas needed improvement. Patient scores on the QoR‐15 relating to their experiences 24 h postoperative were rated higher at T1 than at T2. Twenty per cent of the respondents experienced complications such as infection, haemorrhage and pain. About 1/5 of these contacted healthcare services, and three per cent was hospitalized. EQ5D score was the only factor that made an statistically significant impact on patients' experiences with quality of recovery (R2 .169, F = 82.87). However, this effect was weak.

Keywords

• anaesthesia
• exercise intervention
• patient perspectives
• quality assurance