Satisfaction with preoperative education and surgical services among adults elective surgical patients at selected public hospitals in Addis Ababa, Ethiopia

The Effect of Preoperative Tele-nursing Counseling on Anxiety and Patient Satisfaction in Day Surgery: A Randomized Controlled Trial

PURPOSE

This study aimed to investigate the effect of preoperative tele-nursing counseling on anxiety and patient satisfaction in day surgery.

DESIGN

Randomized controlled study design was employed.

METHODS

The study was conducted in a city hospital and a university hospital in Istanbul between July 2022 and May 2023 with patients who met the study criteria. The sample consisted of 160 patients in the experimental (n = 80) and control (n = 80) groups. In the first interview, the patients who came to be examined (experimental and control groups) were given the Descriptive Information Form and the Surgery-specific Anxiety Scale. The patients in the experimental group were given a training booklet and counseling with tele-nursing practice the day before the surgery, and the patients in the control group were given routine clinical follow-up and a training booklet. The patients (experimental and control) were given the Surgery-specific Anxiety Scale on the day they came for surgery before they were taken into surgery. After the surgery, the Patient's Perception of Nursing Care Scale was applied to the patients. The patients in the experimental group were also given the Tele-nursing Evaluation Form.

FINDINGS

As a result of the study, the patients in the experimental group who received tele-nursing counseling had lower levels of surgery-specific anxiety than the control group. Patients in the experimental group were statistically significantly more satisfied with nursing care.

CONCLUSIONS

Providing preoperative tele-nursing counseling to patients scheduled for day surgery contributed to the reduction of anxiety and worry of the patients and increased the satisfaction of the patients.

Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: a cross-sectional study

BACKGROUND

To enhance patient satisfaction, nurses engaged in preoperative care must possess a comprehensive understanding of the most up-to-date evidence. However, there is a notable dearth of relevant information regarding the current status of preoperative care satisfaction and its impact, despite a significant rise in the number of patients seeking surgical intervention with complex medical requirements.

OBJECTIVE

To assess patient satisfaction with preoperative nursing care and its associated factors in surgical procedures of, 2023.

METHODS

A cross-sectional study was conducted, and the data was collected from the randomly selected 468 patients who had undergone surgery during the study period. The collected data was entered into Epidata version 3.1 and analyzed using SPSS version 25 software.

RESULTS

The complete participation and response of 468 participants resulted in a response rate of 100%. Overall patient satisfaction with preoperative nursing care was 79.5%. Sex (Adjusted odds ratio (AOR): 1.14 (95% confidence interval (CI): 0.21-2.91)), payment status for treatment (AOR: 1.45 (95% CI: 0.66-2.97)), preoperative fear and anxiety (AOR: 1.01, 95% CI: 0.49-2.13)), patient expectations (AOR: 3.39, 95% CI: 2.17-7.11)), and preoperative education (AOR: 1.148, 95% CI: 0.54-2.86)) exhibited significant associations with patient satisfaction with preoperative nursing care.

CONCLUSION

It is important to exercise caution when interpreting the level of preoperative nursing care satisfaction in this study. The significance of preoperative nursing care satisfaction lies in its reflection of healthcare quality, as even minor deficiencies in preoperative care can potentially lead to life-threatening complications, including mortality. Therefore, prioritizing the improvement of healthcare quality is essential to enhance patient satisfaction.