門診手術病患的，護理需求與照護滿意之調查

A Study of Nursing Needs and care Satisfaction Among Ambulatory Surgery Patients

目的：門診手術是有計畫的手術而非預期性地住院，能降低成本及節省時間。本研究目的乃探討中部某區域教學醫院門診手術病患的護理需求與照護滿意。方法：採橫斷面調查法，對象來自以中部某區域教學醫院門診手術之病患。通過人體試驗委員會後，有效回收問卷共139份。採結構式問卷包括基本資料、病患護理需求與照護滿意。問卷發放期間為2019年1月2日至2019年6月30日。採SPSS 22.0進行統計分析。結果：病患平均年齡42.83±14.62歲，以男性、大（專）學、已婚、無開刀經驗、有宗教信仰、一般外科手術、有工作、健康狀況普通、以雙親/兄弟姊妹/子女為手術陪同者、局部麻醉、自己決定手術者居多。手術全期的需求與滿意得分依序均為術後、術中、術前。碩士以上、已婚、一般外科手術、健康狀況非常好、醫師決定手術、局部麻醉的病患在護理需求不同階段平均得分顯著高於高中（職）、未婚、整形外科手術、健康狀況普通及不好、自己決定、全身麻醉者。醫師決定手術、局部麻醉的病患在照護滿意平均得分顯著高於自己決定、全身麻醉者。病患對護理需求高、照護滿意佳。醫師決定手術、局部麻醉的病患、以及術中及術後的護理需求對全期照護滿意具顯著預測力。結論：醫院要關注門診手術全部過程的照護品質，提供以病患為中心的適切服務，藉以獲得門診手術病患的安心與信任。（澄清醫護管理雜誌2022；18（1）：28-39）

"Purposes:Ambulatory surgeries are planned surgeries instead of expected hospitalization and can reduce cost and save time. The objective of this study is to explore the nursing needs and care satisfaction of patients undergoing ambulatory surgeries at a regional teaching hospital in central Taiwan.Methods:Cross-sectional survey was adopted. Participants of this study were patients receiving ambulatory surgeries at a regional teaching hospital in central Taiwan. After this study was approved by the institutional review board, a structured questionnaire was conducted from January 2 to June 30, 2019, and a total of 139 valid responses were retrieved. This questionnaire consisted of demographic information, patients’nursing needs, and care satisfaction. SPSS 22.0 was used for statistical analysis.Results:The mean age of the patients was 42.83±14.62 years old. Most of them were men, had an education level of university or college, were married, had no surgical experience, had religious beliefs, were undergoing general surgery, had a job, had average health condition, had their parents, siblings, or children as their company to the surgery, were receiving local anesthesia, and decided to receive the surgery themselves. The scores for the needs and satisfaction during the entire surgical period were the highest after the surgery, followed by during the surgery and before the surgery. Patients who had an education level no lower than a master’s degree, were married, received general surgery, had excellent health condition, had surgeries decided by the surgeon, and received local anesthesia had significantly higher mean scores during different surgery stages compared to those of patients who had education levels no higher than high school or vocational high school, were single, received plastic surgery, had average or poor health conditions, had surgeries decided by themselves, and received general anesthesia. Patients who had surgeries decided by the surgeon and received local anesthesia scored significantly higher in the mean care satisfaction compared to the patients who had surgeries decided by themselves and received general anesthesia. Patients had a high nursing need and were satisfied with the care they received. Having surgeries decided by the surgeon, receiving local anesthesia, and the nursing needs during and after the surgery had significant predictive power over the nursing satisfaction of the entire period.Conclusions:Hospitals must pay attention to the care quality of the entire process of ambulatory surgeries and provide patient-centered and adequate services, thereby making the ambulatory surgical patients feel at ease and earning their trust. (Cheng Ching Medical Journal 2022; 18(1): 28-39)"