Satisfaction of Patients Undergoing Hand Surgery

Camargo, Victória Muller de; Vieira, Morgana Marques Mello; Rodrigues, Luiz Claudio Lacerda

doi:10.1055/s-0041-1741024

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Revista Brasileira de Ortopedia

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Sumário

Original Article • Rev. bras. ortop. 57 (04) • Jul-Aug 2022 • https://doi.org/10.1055/s-0041-1741024 copy

Satisfaction of Patients Undergoing Hand Surgery

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To assess the satisfaction of patients undergoing hand surgery in relation to their hospitalization, their feelings, and the consequences resulting from the surgical procedure as well as to evaluate their opinion and feelings in relation to the surgical procedure and to detect possible weaknesses in the health care of patients undergoing hand surgery.

Method

Cross-sectional observational clinical study, with a quali-quantitative focus, carried out in an outpatient clinic of a teaching hospital specialized in hand care, with patients of both genders, aged 18 to 75 years, who have undergone corrective surgical procedures of hand pathologies in the last 5 years.

Results

We obtained a total of 54 participants, 26 females and 28 males, with a minimum age of 18 years and a maximum of 73 years. Patient satisfaction for the 11 moments evaluated had means between 8 and 10, showing great satisfaction. For the other five moments evaluated, the means were between five and eight. We did not get any satisfaction average below fivr.

Conclusion

The absolute satisfaction of patients undergoing hand surgery is dependent on the humanization of health care, especially in relation to surgical consequences, which require further follow-up. The surgical consequences that require greater follow-up and hinder the routine activities of patients are pain on hand mobilization, limitation of the range of motion, and parathesthesia; thus, proper management of these complaints leads to greater satisfaction.

Keywords
humanization of assistance; delivery of health care; patient satisfaction; orthopedic procedures; hand

Moments	Average satisfaction	Minimum Value	Maximum Value
Information about your illness before surgery	8.9	2.5	10
Surgery Guidelines	9.1	2.5	10
Guidance during hospitalization before surgery	8.8	2.5	10
Directions in the room before entering the operating room	9.3	2.5	10
Guidelines in the operating room	9.5	5.0	10
Care during hospitalization	9.2	2.5	10
Discharge guidelines	9.1	2.5	10
First postsurgery consultation	9.4	5.0	10
The whole hospitalization process	9.1	2.5	10
General process	9.3	2.5	10
Pain throughout treatment	7.7	2.5	10
Return to functions prior to surgery	7.5	2.5	10
Performing routine activities	7.7	2.5	10
Ability to return to work	5.8	0	10
Treatment as a whole	9.3	2.5	10
Impact on your quality of life	6.6	0	10

Moments	Negative reasons cited	Positive reasons cited
Information about your illness before surgery	“rude care”; “lack of information”; “lack of communication” and “not agreeing with the information provided”	“clear information” and “transmission of tranquility on the part of doctors”
Surgery guidelines	“lack of information”; “information that is not clear”; “not fully agree with the conduct” and “not guide about the surgery”	“clear information,” and “very well instructed by doctors”
Guidance during hospitalization before surgery	“high demand from the team, therefore less attention”; “have left me outdated”; “delay in the day scheduled for surgery”; “lack of care on the part of nursing”; “lack of information” and “quick visit without explanations”	“clear information,” and “very enlightening information”
Directions in the room before entering the operating room	“little information provided”	“clear information on the procedure”
Guidelines in the operating room	“lack of information”	“well advisory about surgery” and “clear information”
Care during hospitalization	“nursing team with a lot of demand”; “lack of attention on the part of nursing”; “lack of information in detail” and “did not explain how the surgery was”	“good medical and nursing care,” and “attentive doctors”
Discharge guidelines	“lack of guidance on what to do and what not to do,” and “did not guide, just gave the prescription of medicines”	“well-oriented,” “enlightening information,” and “guided on revenue. return, and exams”.
First postsurgery consultation	“crowded outpatient clinic; therefore, less didactic doctors” and “delay in performing radiography”	“clear information,” “considerate surgeons,” “great care,” and “explained all the processes that occurred in the surgery and the next ones that would be performed”
The whole hospitalization process	“lack of attention on the part of nursing,” “little medical attention,” “lack of information, and “emotional stress”	“clear information” and “good reception by professionals”
General process	“problems related to care attention,” and “slow process”	“speed of consultations. with good service,” “rapidly performed examinations,” and “health problem solving”
Pain throughout treatment	“presents dystrophic condition leading to pain,” “pain during physiotherapy,” “pain throughout the treatment process,” “still feels pain at home,” “severe pain in the first postoperative week,” “continuous but mild residual pain,” “medications did not control pain,” and “ lot of pain after anesthesia”	“pain controlled with medications”
Return to functions prior to surgery	“pain and difficulty in mobilizing,”; “difficulty in establishing movements,” “tingling,” “decrease of the arc of motion,” and “loss of strength”	“managing to progress over time,” “adaptation phase,” “gradual return,” and some claimed to be awaiting evolution, showing themselves to be indifferent at the time of evaluation
Treatment as a whole	“lack of attention on the part of nursing”	“information has been clear” and “attentive and resolutive medical staff”

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[1] Address for correspondence Luiz Claudio Lacerda Rodrigues, Professor MD, MsC, PhD, Department of Orthopedics and Traumatology, Hospital Santa Marcelina - Group of Spinal Pathologies, Rua Santa Marcelina, 177, Itaquera, São Paulo, SP, 08270-070, Brazil (e-mail: luizclaudiolacerdarodrigues@gmail.com).

Ability to return to work	“job loss/work break due to the impossibility of making necessary movements,” “pain to perform some movements,” and “loss of strength” as well as “not being able to pick up weight necessary for your work”
Impact on your quality of life	“relying on help for household activities”,” “financial difficulty for not being able to return to work,” “feeling insecure to return to work,” “impossibility to perform sports,” “difficulty taking care of children,” “slowed routine”
Performing routine activities	need for help bathing/eating/home/cooking/writing/combing hair as well as difficulty in grip and loss of strength which impair the functionality of the individual. Some participants reported being in an adaptation period, with gradual improvement of functionality and, thus, gradually returning to their daily activities.