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Learning Objective 1: The learner will be able to understand the significant difference in the satisfaction level of planned versus add on surgical patients.
Learning Objective 2: The learner will also know how to manage add on surgeries and to identify the issues and concerns of patients waiting for surgery.
To assess the perceptions and satisfaction of the pre operative patients who are planned versus the patients who are on add on list. Add on surgeries are those surgeries for which a planned booking is not given to the patients. Thus, they are not on the list a day prior when the operating room list was finalized. in contrast, elective patients have their surgeries planned and advance booking is been given to the OR scheduler atleast one day prior to their surgery.
Methods:
In this study quantitaive case control study design is used. The study is conducted on Inpatient surgical unit at a private tertiary care hospital, karachi, Pakistan. Total 170 surgical patients were randomly selected from the OR list out of which 95 were scheduled patients and 75 patients were Add on. About 170 patients (18 years and above) were interviewed face to face on structured questionnaire in the Inpatient surgical unit after submission of their written consent. This study was approved by ethical review committee (ERC). Pilot testing of the questionnaire was done prior to the data collection. Data was analyzed by using SPSS version 16.0. Appropriate statistical tests (chi-square, AVOVA, and Mean-Whitnes test) were used to determine the difference in the satisfaction of add on and planned cases.
Results:
78.6% of add on patients did not know the time of their surgeries while only 21.4% knew. P value <.001 or anxious the patients were, there was not a remarkable difference among the anxiety level between add on and elective patients p value = .55. Most of the elective patients have knowledge about the surgeries as compared to add on patients p value , .001
Conclusion:
Add on patients lack knowledge of surgeries and the time of surgery as compared to scheduled patients. There is no remarkable difference in level of anxiety of both the groups.