Abstract
Introduction Patient satisfaction is a quality of care measure and reveals patients’ appreciation of healthcare delivery. We sought to measure patient satisfaction following major gynaecological surgeries in 2 University Teaching Hospitals in Yaounde, Cameroon.Methods Ours was a cross-sectional, prospective study over 9 months (October 1 st 2018, to June 30 th 2018) at the Yaounde Gynaeco-Obstetric and Paediatric Hospital (YGOPH) and the Yaounde Central Hospital (YCH). By administering a modified Surgical Satisfaction Questionnaire (SSQ-8) via phone call 6 months after surgery we appreciated and scored key aspects linked to patient satisfaction, and obtained information on post-operative complications. Data was analysed using Microsoft Excel 18 and SPSS 21 setting significance at p<0.05.Results We recruited 72 patients aged 24 to 68 years. Our participants had a mean satisfaction score of 26 ± 7.854 (59.7% satisfied and 40.3% dissatisfied). All aspects tested on the SSQ-8 questionnaire influenced patient satisfaction. Patients who said they were satisfied with pain control after surgery (OR=0.207 CI=0.070–0.609, P=0,003), and with surgical results in the SSQ-8 questionnaire (OR=0.053, CI=0.011–0.254, P<0.001) achieved statistically significant post-operative satisfaction. Contrarily, patients who were dissatisfied with surgery results (OR=132.000, CI=15.256-114.131, P< 0.001) and those who developed complications (OR=7.922, CI=2.241 – 28.004, P<0.001) were significantly dissatisfied with surgery. Additionally, 47.2% declared a poor post-operative current health status versus 52.8% who claimed a good post-operative current health status. Following multivariate analysis, satisfaction with the results of surgery (aOR= 0.071, CI=0.008–0.657, P= 0.020) and the occurrence of complications (aOR=7.284, CI=1.146 – 46.273, P=0.035) were the main determinants of patient satisfaction. Patient current health status evolved similarly to patient satisfaction and especially by satisfaction with time taken to resume work (aOR=0.039, CI=0.004-0.398, P=0.006) and pre-operative exercise routine (aOR=0.038, CI=0.002–0.678, P-value=0026).Conclusion Patient satisfaction with elective gynaecological surgery is low and determined by post-operative experiences and the occurrence of complications. Also, patient self-reported current health status tends to evolve similarly to satisfaction following surgery.
PCV111 The Association Between Emotional Support and Current Health Status among Adults with Cardiovascular Disorders in the United States
