A Quantitative, Multicentre, Longitudinal Study of Patient Experiences After Gynaecological Day Surgery

Overview

Journal Nurs Open

Specialty Nursing

Date 2022 Oct 10

PMID 36210540

Authors

Anne-Marie Gran Bruun

Katrine Svensen

Elin Johansen

Thor-David Halstensen

Anette Gustavsson

Ann-Chatrin Linqvist Leonardsen

Affiliations

Soon will be listed here.

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 (R .169, F = 82.87). However, this effect was weak.

Citing Articles

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

Gran Bruun A, Svensen K, Johansen E, Halstensen T, Gustavsson A, Leonardsen A Nurs Open. 2022; 10(3):1536-1544.

PMID: 36210540 PMC: 9912434. DOI: 10.1002/nop2.1403.

References

Jaensson M, Dahlberg K, Nilsson U . Factors influencing day surgery patients' quality of postoperative recovery and satisfaction with recovery: a narrative review. Perioper Med (Lond). 2019; 8:3. PMC: 6530125. DOI: 10.1186/s13741-019-0115-1. View

Stessel B, Fiddelers A, Joosten E, Hoofwijk D, Gramke H, Buhre W . Prevalence and Predictors of Quality of Recovery at Home After Day Surgery. Medicine (Baltimore). 2015; 94(39):e1553. PMC: 4616829. DOI: 10.1097/MD.0000000000001553. View

Berg K, Arestedt K, Kjellgren K . Postoperative recovery from the perspective of day surgery patients: a phenomenographic study. Int J Nurs Stud. 2013; 50(12):1630-8. DOI: 10.1016/j.ijnurstu.2013.05.002. View

Leonardsen A, Lunde E, Smith S, Olsen G . Patient experiences with peripherally inserted venous catheters- A cross-sectional, multicentre study in Norway. Nurs Open. 2020; 7(3):760-767. PMC: 7113511. DOI: 10.1002/nop2.448. View

Jaensson M, Dahlberg K, Eriksson M, Nilsson U . Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial. Br J Anaesth. 2017; 119(5):1030-1038. DOI: 10.1093/bja/aex331. View

Brix L, Bjornholdt K, Thillemann T, Nikolajsen L . Pain-related unscheduled contact with healthcare services after outpatient surgery. Anaesthesia. 2017; 72(7):870-878. DOI: 10.1111/anae.13876. View

Kennedy G, Tevis S, Kent K . Is there a relationship between patient satisfaction and favorable outcomes?. Ann Surg. 2014; 260(4):592-8. PMC: 4159721. DOI: 10.1097/SLA.0000000000000932. View

Gran Bruun A, Svensen K, Johansen E, Halstensen T, Gustavsson A, Leonardsen A . A quantitative, multicentre, longitudinal study of patient experiences after gynaecological day surgery. Nurs Open. 2022; 10(3):1536-1544. PMC: 9912434. DOI: 10.1002/nop2.1403. View

Al-Abri R, Al-Balushi A . Patient satisfaction survey as a tool towards quality improvement. Oman Med J. 2014; 29(1):3-7. PMC: 3910415. DOI: 10.5001/omj.2014.02. View

10.

McGrath B, Elgendy H, Chung F, Kamming D, Curti B, King S . Thirty percent of patients have moderate to severe pain 24 hr after ambulatory surgery: a survey of 5,703 patients. Can J Anaesth. 2004; 51(9):886-91. DOI: 10.1007/BF03018885. View

11.

Lieng M, Busund B, Raeder J, Iversen T . [Activity-based financing and ambulatory surgery]. Tidsskr Nor Laegeforen. 2013; 133(9):974-6. DOI: 10.4045/tidsskr.13.0155. View

12.

Tevis S, Kennedy G . Patient satisfaction: does surgical volume matter?. J Surg Res. 2015; 196(1):124-9. PMC: 6205697. DOI: 10.1016/j.jss.2015.02.054. View

13.

. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990; 16(3):199-208. DOI: 10.1016/0168-8510(90)90421-9. View

14.

St Sauver J, Boyd C, Grossardt B, Bobo W, Finney Rutten L, Roger V . Risk of developing multimorbidity across all ages in an historical cohort study: differences by sex and ethnicity. BMJ Open. 2015; 5(2):e006413. PMC: 4322195. DOI: 10.1136/bmjopen-2014-006413. View

15.

McIntosh S, Adams J . Anxiety and quality of recovery in day surgery: A questionnaire study using Hospital Anxiety and Depression Scale and Quality of Recovery Score. Int J Nurs Pract. 2011; 17(1):85-92. DOI: 10.1111/j.1440-172X.2010.01910.x. View

16.

Sacks G, Lawson E, Dawes A, Russell M, Maggard-Gibbons M, Zingmond D . Relationship Between Hospital Performance on a Patient Satisfaction Survey and Surgical Quality. JAMA Surg. 2015; 150(9):858-64. DOI: 10.1001/jamasurg.2015.1108. View

17.

Stark P, Myles P, Burke J . Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15. Anesthesiology. 2013; 118(6):1332-40. DOI: 10.1097/ALN.0b013e318289b84b. View

18.

. Declaration of Helsinki. Ethical principles for medical research involving human subjects. J Indian Med Assoc. 2009; 107(6):403-5. View

19.

Berkowitz B . The Patient Experience and Patient Satisfaction: Measurement of a Complex Dynamic. Online J Issues Nurs. 2016; 21(1):1. DOI: 10.3912/OJIN.Vol21No01Man01. View

20.

Prabhu K, Cleghorn M, Elnahas A, Tse A, Maeda A, Quereshy F . Is quality important to our patients? The relationship between surgical outcomes and patient satisfaction. BMJ Qual Saf. 2017; 27(1):48-52. DOI: 10.1136/bmjqs-2017-007071. View