Detaillierte Beitrags-Information
| Beitragstitel | The most important factors for patients' satisfaction during hospitalization for spinal surgery |
|---|---|
| Beitragscode | P71 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
|
| Abstract |
Introduction: Patients' perspectives and expectations around spinal procedures are largely unknown and potentially responsive to non-medical factors. We asked if hospitalization-related expectations overrule objective surgical outcomes regarding the patients' final global satisfaction. Methods: A questionnaire-based survey was performed during November-December 2021 on patient (mean age of 65 years, 81% were Swiss citizens, 87 females (52%)) 3-6 weeks following spinal surgery (70% lumbar). The survey contained 45 variables ranging from 1 to 5 points on the Likert Scale and the possibilities of free text insertion. Validation was performed by a subgroup of patients with individual interviews (n=10). Answers situated beyond the 50% percentile were defined as satisfactory. 167 questionnaires were analyzed with an acceptable internal consistency of the formulations (Cronbach's alpha 0.59). A multivariate logistic regression model (ROC value 0.80) was used to find the most influencing factors of patient’s satisfaction. Results: The most determinant variable of global satisfaction was the improvement of mobility (odds ratio 2.2, 95%CI 1.3-3.7), followed by the gentleness of the surgeon (OR 1.8, 95%CI 1.1-2.8) and the professional competence of the nurses (OR 1.8, 95%CI 0.5-6.2). Gender, age, patients' education, waiting delay until surgery, hotel services or improvement in pain (OR 1.0, 95%CI 0.6-1.6) were less influential on global satisfaction. Conclusion: In adult spinal surgery, the three most striking determinants of global patient satisfaction of the hospitalization period are gain in mobility, gentleness of the surgeon, and professional competence of the nurses. |