IMPACT OF COMPENSATORY HYPERHIDROSIS ON PATIENT SATISFACTION AFTER ENDOSCOPIC THORACIC SYMPATHECTOMY

Neurosurgery ◽  
2009 ◽  
Vol 64 (3) ◽  
pp. 511-518 ◽  
Author(s):  
Mark Chwajol ◽  
Ignacio J. Barrenechea ◽  
Shamik Chakraborty ◽  
Jonathan B. Lesser ◽  
Cliff P. Connery ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Retrospective Chart Review ◽  
Definitive Treatment ◽  
P Value ◽  
Endoscopic Thoracic Sympathectomy ◽  
Compensatory Hyperhidrosis ◽  
Thoracic Sympathectomy ◽  
Level Of Satisfaction ◽  
Focal Hyperhidrosis ◽  
The Impact

Abstract OBJECTIVE Endoscopic thoracic sympathectomy (ETS) remains the definitive treatment for primary focal hyperhidrosis. Compensatory hyperhidrosis (CH) is a significant drawback of ETS. We sought to identify the predictors for the development of severe CH after ETS, its anatomic locations, and its frequency of occurrence, and we analyzed the impact of CH on patient satisfaction with ETS. METHODS Bilateral ETS for primary focal hyperhidrosis was performed in 220 patients, and a retrospective chart review was conducted. Follow-up evaluation was conducted using a telephone questionnaire, and 73% of all patients were contacted. Patients' responses regarding CH and their level of satisfaction after ETS were analyzed. Statistical analysis was performed using SPSS software (Version 14.0; SPSS, Inc., Chicago, IL). A P value of <0.05 was considered statistically significant. RESULTS Some degree of CH developed in 94% of patients. The number of levels treated was not related to the occurrence of severe CH. Isolated T3 ganglionectomy led to a significantly lower incidence of severe CH, when compared with all other levels (P < 0.03). Ninety percent of patients were satisfied with the procedure. The development of severe CH, as opposed to mild or moderate CH, significantly correlated with a lower satisfaction rate (P = 0.003). CONCLUSION CH is common after ETS procedures, and the occurrence of severe, but not mild or moderate, CH is a major source of dissatisfaction after ETS. The overall occurrence of severe CH is reduced after T3 ganglionectomy as opposed to ganglionectomies performed at all other levels. The level of satisfaction with ETS is high.

scholarly journals Perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas rawat inap

2020 ◽  
Vol 14 (3) ◽  
pp. 486-493
Author(s):  
Triyoso Triyoso ◽  
Martina Sari
Keyword(s):  
Public Health ◽  
Patient Satisfaction ◽  
Health Center ◽  
Health Centre ◽  
P Value ◽  
Public Health Centre ◽  
Caring Behaviors ◽  
Caring Behavior ◽  
Nurse Caring ◽  
The Impact

Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centreBackground: The results of the pre-survey conducted on January - 2019 based on the medical records of the Bukit Kemuning Inpatient Health Center in North Lampung recorded in 2018 had of 279 inpatients. Base on evaluation in Bukit Kemuning Inpatient Health Center, the Minimum Service Standards (MSS) achievement scored of 67.29% describes the service quality is still suboptimal.Purpose: Knowing relationship between nurses' caring behavior towards patient satisfaction in Bukit Kemuning Inpatient Health Centre North Lampung RegencyMethod: A quantitative cross-sectional approach, the population of all outpatient who had experienced hospitalization at Bukit Kemuning Inpatient Health Center, with a sample of 282 respondent. The variables of this study were nurse caring behavior and patient satisfaction. The research conducted at the Bukit Kemuning Inpatient Health Center UPT North Lampung Regency. data collection using a questionnaire. Data analysis was univariate and bivariate (chi square).Results: Knowing the respondents' statement that nurses' shown caring behavior in a poor category of 162 (57.4%), patients unsatisfied of 140 (49.4%), There is a relationship between Nurse caring behaviors and patient satisfaction at Bukit Kemuning inpatient public health centre North Lampung Regency (p-value = 0.000 OR = 4.659)Conclusion: There is a correlation between Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centre, for the Health Center management to consider for nurses' staff for conducting caring behavior training and improve health services.Keywords: Nurses; Caring behavior; Patient; SatisfactionPendahuluan: Standar kepuasan pasien di pelayanan kesehatan ditetapkan secara nasional oleh Departemen Kesehatan. Hasil pra survey yang dilakukan tanggal 5 – 9 Januari 2019  berdasarkan data rekam medis Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tercatat tahun 2018 jumlah pasien yang melakukan kunjungan rawat jalan sebesar 11.169 orang dan rawat inap sebanyak 279 orang. Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  Standar SPM > 90 % dengan hasil capaian hanya 67, 29% sehingga dapat menggambarkan mutu pelayanan masih belum optimal.Tujuan : Diketahui  hubungan perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019Metode: Penelitian kuantitatif pendekatan Cross Sectional, populasi seluruh pengunjung Puskesmas, dengan sampel berjumlah 282 orang Objek dalam penelitian ini adalah perilaku caring perawat dan kepuasan pasien. Penelitian dilakukan di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara. bulan Januari – Juni  2019 . pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui pernyataan responden tentang perawat yang menunjukkan perilaku caring kategori buruk, sebesar 162 (57,4%) responden, kepuasan keluarga pasien kurang puas, sebesar 140 (49,4%) responden, Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019 (p-value=0,000,0,05, OR=4,659)Simpulan: Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019, bagi pihak manajemen Puskesmas sebagai bahan pertimbangan untuk mengadakan pelatihan perilaku caring perawat guna meningkatkan pelayanan pasien.

Chronological changes of postsympathectomy compensatory hyperhidrosis and recurrent sweating in patients with palmar hyperhidrosis

2005 ◽  
Vol 2 (2) ◽  
pp. 151-154 ◽  
Author(s):  
Thomas S. M. Chiou
Keyword(s):  
Patient Satisfaction ◽  
Palmar Hyperhidrosis ◽  
Analog Scale ◽  
Compensatory Hyperhidrosis ◽  
Content Type ◽  
Thoracic Sympathectomy ◽  
The Mean ◽  
Upper Thoracic ◽  
Fine Print

Object. The author sought to investigate the temporal changes of postsympathectomy compensatory hyperhidrosis and recurrent sweating in patients with primary palmar hyperhidrosis. Methods. The author examined 91 consecutive patients for this prospective 6-year study. The patients were interviewed at least twice during a 6-month interval; the first follow up was conducted at a median of 1.7 years after surgery (range 2.5–60.5 months). Overall, 24 patients (26.4%) were followed for more than 2 years. Attention was focused on patient satisfaction and the incidence of compensatory hyperhidrosis and recurrent sweating. The overall mean patient satisfaction rate was 78%, with a median 80% improvement on a visual analog scale from 0% (poor) to 100% (excellent). Overall, 88 patients (96.7%) developed compensatory hyperhidrosis, with the mean initial occurrence at 8.2 weeks. The symptoms of compensatory hyperhidrosis progressively worsened to the maximum degree within another 2 weeks after onset (mean 10.3 ± 1.83 weeks). In 19 patients (21.6%), symptoms of compensatory hyperhidrosis improved spontaneously within 3 months after sympathectomy (mean 13.3 weeks). Postoperative compensatory hyperhidrosis occurred in 71.4% of patients within the 1st year. Recurrent sweating occurred in only 17.6% of patients. None of these patients required repeated operation. The earliest onset of recurrent sweating was noted at 2 weeks postoperatively by three patients, and the mean initial postoperative reccurrence was 32.7 weeks after surgery. Conclusions. Compensatory hyperhidrosis and recurrent sweating are normal thermoregulatory responses that occurred after upper thoracic sympathectomy. Compensatory hyperhidrosis was more prevalent and developed earlier than recurrent sweating. The severity of both compensatory hyperhidrosis and recurrent sweating symptoms remained stable 6 months after surgery.

scholarly journals Hubungan kualitas pelayanan terhadap tingkat kepuasan pasien BPJS

2020 ◽  
Vol 1 (2) ◽  
pp. 201
Author(s):  
Yusra Yusra
Keyword(s):  
Patient Satisfaction ◽  
Social Security ◽  
Service Quality ◽  
Health Workers ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Quality Data ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Satisfaction

Background: Quality hospital services are demands that must be met, in improving the quality and satisfaction of the community as service users. Patients tend to make the decision not to re-visit a hospital if the services provided are of low quality. The problem that is often faced by the hospital, in general, is that it has not been able to provide the services that the community really expects. The main factor is because the service has low-quality management.Purpose: This study aims to measure the relationship of service quality to the satisfaction level of Insurance and Social Security patients at Tanjung Selamat Hospital, Langkat.Method: The research design was a cross-sectional study at the Tanjung Selamat Hospital, Langkat. The respondents as 43 who were taken by accidental sampling from January to February 2017. Data were collected through interviews and observations using a questionnaire covering demographic data, characteristics, service quality and level of satisfaction. Service quality data processing is given a scoring and is grouped into good, moderate, poor. Patient satisfaction variables were also scored with the classification of satisfied and dissatisfied. Data were analyzed using the chi-square test with CI: 95%.Results: The service quality at the Tanjung Selamat hospital is still not good (46.5%), with the level of patient satisfaction with the service is still low (58.1%). Statistically, there is a relationship between service quality and BPJS patient satisfaction at Tanjung Selamat Hospital in 2017, with a p-value = 0.001 (p <0.05).Conclusion: The lack of good service quality is related to the low level of satisfaction of Insurance and Social Security patients at Tanjung Selamat Hospital. Suggestion, the hospital must improve the quality and quality of service through repair and improvement of facilities and infrastructure, education and training for health workers.

Daylight-Mediated Photodynamic Therapy With Methyl Aminolevulinate in Actinic Keratosis Treatment

2018 ◽  
Vol 22 (3) ◽  
pp. 267-272 ◽  
Author(s):  
Shantel D. J. Demay ◽  
Kunal Sharma ◽  
Sheetal Sapra ◽  
Rahul Sapra ◽  
Priya Sapra
Keyword(s):  
Photodynamic Therapy ◽  
Patient Satisfaction ◽  
Actinic Keratosis ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Level Of Satisfaction ◽  
Canadian Population ◽  
The Face ◽  
Methyl Aminolevulinate ◽  
Suitable Treatment

Background: Research has shown daylight-mediated photodynamic therapy (PDT) for the treatment of actinic keratosis (AK) to be effective, tolerable, and convenient, with excellent patient satisfaction and cosmesis. Although success has been demonstrated in areas with similar latitudes to Switzerland and Scandinavia, this treatment has not been studied in a Canadian population. Objectives: The purpose of this study is to investigate the effectiveness, safety, and patient satisfaction of daylight-mediated methyl 5-aminolevulinate (MAL)–PDT to make recommendations for its use in Canadian practice. Methods: A retrospective chart review of patients who received treatment of daylight-mediated MAL-PDT for the indication of AK at the Institute of Cosmetic and Laser Surgery in Oakville, Ontario, between 2009 and 2016. Results: A total of 112 patients were included, consisting of 94 males and 18 females with a mean age of 63.79 years. A total of 177 sites were treated among all patients, mostly consisting of the face (n = 92) and scalp (n = 55). A total of 13.4% of patients experienced side effects, the most common being redness (n = 4) and scabbing (n = 4). Of the 42 patients who expressed their level of satisfaction, 83.3% reported being happy with the treatment, χ2(1) = 18.67, P ≤ .05; 6.3% of patients were noted to be completely clear, 86.6% had a good response, 0.9% had a mild response, and 0% had no response, χ2(1) = 101.04, P ≤ .05. Conclusions: Daylight-mediated MAL-PDT is a suitable treatment option for AK lesions in a Canadian population due to the demonstrated efficacy, patient satisfaction, tolerability, and convenience.

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