患者在办公室进行手术的经验与门诊手术中心的体验
Brandon W Knopp1, Jared Kushner2, Emma Eng2
1Endocrinology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|September 20, 2023
概括
接受轻微手术的患者报告了类似的满意度,无论手术是在办公室还是门诊手术中心进行的. 在办公室的手术中,使用Wide-Awake Local Anesthesia No Tourniquet (WALANT),导致工作时间显著减少,患者的舒适性和便利性相比较.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 患者的治疗结果.
背景情况:
- 医生越来越多地采用广觉醒局部麻醉无护套 (WALANT) 方法进行轻微的手术,以提高患者的满意度.
- 这项研究比较了使用WALANT的办公室手术程序与传统的门诊手术中心 (ASC) 设置.
研究的目的:
- 为了调查和比较患者的满意度,自付费用,疼痛程度,方便和舒适性,在办公室和ASC手术之间进行手术.
- 评估程序设置对恢复时间的影响,特别是休息日.
主要方法:
- 对在办公室或ASC环境中接受轻微手术的患者进行了10个问题的调查.
- 外科手术包括重建,骨折减轻,大规模切除,手腕道释放,杜普伊特伦释放和触发指释放.
- 用独立样本 t 试验分析数据,其显著性定义为 p < 0.05.
主要成果:
- 患者在两种环境中都报告了高水平的便利性,舒适性和整体满意度 (平均得分为9.64在办公室和9.62在ASC).
- 在这两组中,疼痛感知都轻微 (平均得分为2.74在办公室和2.84在ASC).
- 与ASC程序 (12.43天) 相比,在办公室的程序导致工作假期显著减少 (0.91天) (p = 0.0039).
结论:
- 小手术的患者满意度指标在办公室 (WALANT) 和ASC设置之间是可比的.
- 办公室内程序在减少恢复时间 (休息日) 中提供了显著的优势.
- 虽然成本可能会有所不同,但整体患者的批准表明了手术室手术的可行性.
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