STUDY ON FACTORS AFFECTING POSTOPERATIVE QUALITY OF RECOVERY FOR PATIENTS UNDERGOING SURGERY IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 45-47
Author(s):  
Ravi Sinha ◽  
Sanjeev Kumar ◽  
Navneet Kumar Dubey ◽  
Prabhat Vikram Singh
Keyword(s):  
Health Status ◽  
Predictive Factors ◽  
Tertiary Care ◽  
Care Hospital ◽  
Total Quality ◽  
Factors Affecting ◽  
Quality Of Recovery ◽  
Duration Of Surgery ◽  
Postoperative Quality

BACKGROUND: Quality of recovery (QoR) after surgery is an important measure of the early postoperative health status of patients. The recovery phases after surgery can be categorized as early, intermediate and late. The early postoperative recovery phase has been dened as the rst 24 h or the rst seven days. Recovery after surgery and anaesthesia is a complex process that could be inuenced by many factors that effect on its quality. OBJECTIVES: This study aims to assess the predictive factors affecting postoperative quality of recovery for patients undergoing surgery through assessment of the postoperative quality of recovery in patients undergoing surgery and also predictive factors affecting the same. MATERIAL AND METHODS: It was a cross-sectional descriptive research done between July 2020 to December 2020 at Hind Institute of Medical Sciences. Purposive samples of 100 patients who were admitted to the previously mentioned settings and fullled the inclusion criteria were included in the study. Quality of Recovery Score Questionnaire (QoR-40) translated into Hindi language and then back translated by the researchers in order to assess postoperative health status of the patient. RESULTS: The results showed that 36% of patients had good total quality of recovery, 19% had excellent recovery, 39% had acceptable quality of recovery, while 6% only had poor quality of recovery. There were highly statistically signicant differences between total quality of recovery and age, gender, type and duration of surgery and presence of other diseases. CONCLUSION: It was concluded that there are several factors affecting the postoperative quality of recovery for patients undergoing surgery such as patient's gender, age, type of surgery, duration of surgery, presence of other diseases, as well as pain control.

Predictive Factors Affecting Postoperative Quality of Recovery for Patients Undergoing Surgery

2017 ◽  
Vol 06 (03) ◽  
pp. 50-60 ◽  
Author(s):  
Asmaa Abdel Rahman Abdel Rahman ◽  
Naglaa Elsayed Mahdy ◽  
Ayman Mokhtar Kamaly
Keyword(s):  
Predictive Factors ◽  
Factors Affecting ◽  
Quality Of Recovery ◽  
Postoperative Quality

Prognosis of Late-Onset Depression in the Elderly: A Study From India

2001 ◽  
Vol 13 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Harsh Prem Jhingan ◽  
Rajesh Sagar ◽  
Ravindra Mohan Pandey
Keyword(s):  
Clinical Outcome ◽  
Predictive Factors ◽  
Family System ◽  
Late Onset ◽  
Tertiary Care ◽  
The Elderly ◽  
Stepwise Logistic Regression ◽  
Elderly Persons ◽  
Care Hospital ◽  
Factors Affecting

Objective: To study the 12-month outcome of late-onset depression in elderly persons and the predictive factors affecting its outcome. Method: This is a prospective study of 50 patients who had their first major depressive episode (according to DSM-III-R) in old age (60 years and above) and attended the psychiatry services of a tertiary care hospital in India. These patients were assessed at baseline and after 12 months for clinical outcome. Stepwise logistic regression was applied to determine predictive factors for the clinical outcome. Results: Twenty-eight percent of the patients had recovered, 30% had partially recovered, 23% had relapsed, 6% had been continuously ill, 11% had died, and 6% had comorbid dementia. Factors predicting a good outcome (full recovery and continuously well for 1 year) were shorter duration of episode (adjusted odds ratio [OR] = 19.15, 95% confidence interval [CI] 2.12-172.82) and living in joint family system (adjusted OR = 4.88, 95% CI 0.80-29.74). Conclusion: Overall, the 12-month outcome was poor in elderly individuals with late-onset depression.

scholarly journals SATISFACTION OF SUSPECTED COVID-19 PATIENTS REGARDING MEAL SERVICES AT A TERTIARY CARE HOSPITAL OF NORTH INDIA

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Shweta Talati ◽  
Saru Sethi ◽  
Ritin Mohindra ◽  
Pankaj Arora ◽  
Navneet Dhaliwal ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Discharge From Hospital

Introduction: Meal services plays a significant role in speedy recovery and increases patient satisfaction. Objective: Present study was done to assess the satisfaction of suspected COVID-19 patients regarding meal services at a tertiary care hospital of north India. Methodology:  This cross-sectional study in retrospective design was done to understand the factors affecting the satisfaction of suspected COVID-19 patients with respect to meal services. The data was collected for patients admitted from January 2020-June 2020 with the help of a questionnaire with graded responses i.e Yes, No or Maybe/Not applicable, gathered from participants after discharge from hospital through ‘google forms’. Results: Out of 160 participants, 159 filled up the questionnaire through ‘google form’. Majority of the participants were <30 Years old 46.5%, had university or higher education 52.8%. The study showed 96.9% patients were satisfied and 3.1% were not satisfied   with the quality of the meal services provided during the hospital stay. There was no significant association observed between taste of meals and consumption of whole meal with the quality of the meal served (p = 0.875, p = 0.855 respectively). Although significant association was observed between temperature of meal, time of meal distribution, quantity of water bottles provided, and quality of meal served (p = 0.000, p = <0.001, p = 0.000). Conclusion: Present study connotes that such types of assessments can help identify the gaps which can be worked on for achieving maximal satisfaction of patients with respect to quality of meal services in the hospital. Key words: COVID-19 patients; Meal services; Patient Satisfaction; Tertiary care hospital

Neck Surgery with Hypnosis: An Evaluation Based Upon Patient’s Self Assessment

2019 ◽  
Vol 129 (3) ◽  
pp. 256-264 ◽  
Author(s):  
Marie Jaouen ◽  
Valentine Parent ◽  
Maxime Codet ◽  
Véronique Gerard ◽  
Anita Chatellier-Miras ◽  
...  
Keyword(s):  
Outpatient Surgery ◽  
Tertiary Care ◽  
Patient Comfort ◽  
Care Hospital ◽  
Surgical Team ◽  
Global Satisfaction ◽  
Validated Questionnaire ◽  
Duration Of Surgery ◽  
Preoperative Information

Background: Surgery with hypnosis avoids the use of general anesthesia (GA). It also shortens hospitalization and promotes outpatient surgery. The objective of this study has been to assess the satisfaction of operated patients. No previous study has focused on patient satisfaction in a prospective design. Methods: In this prospective, non-randomized, observational study, all patients operated with hypnosis between 2009 and 2017 in the Ear, Nose, and Throat department of a tertiary care hospital were selected. All patients were asked to fill a questionnaire based on a previously validated questionnaire incremented with complementary questions. Questionnaires were completed immediately after surgery for 31 patients and after 6 months for 20 patients. Global Satisfaction Index (GSI) was self-assessed on a scale ranging from 1 to 10. Patients were asked; whether they felt comfortable during the operation, whether hypnosis helped them, whether the experience matched their expectations, whether they would revisit or recommend it to someone else and whether they considered to have been sufficiently informed before the procedure. The data was analyzed using a linear regression model with P < .05 considered as statistically significant. Results: During the inclusion period, no patient required conversion to GA. A total of 48 questionnaires were evaluated. The median of the GSI was 8/10. GSI significantly correlated with patient comfort ( P < 0.0001) and quality of preoperative information ( P = .002). The percentage of patients who found hypnosis helpful correlated with the duration of surgery ( P = .04). The probability for a patient to consider hypnosis as an experience matching their expectation increased with surgical team experience OR 0.55 (0.3-0.9). Conclusion: This study reveals that patients’ global satisfaction after hypnosis is high. This is significantly related to the quality of preoperative information and to the experience of the surgical team. It also suggests that patients are more likely to benefit from hypnosis if the surgery is longer.

scholarly journals Quality of life and factors affecting it in adult cancer patients undergoing cancer chemotherapy in a tertiary care hospital

2020 ◽  
Author(s):  
Saravana Kumar Ramasubbu ◽  
Rajesh K. Pasricha ◽  
Uttam K. Nath ◽  
Vikram Singh Rawat ◽  
Biswadeep Das
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Cancer Chemotherapy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Factors Affecting

Assessment of Quality of Life (QoL) in Systemic Lupus Erythematosus Patients at a Tertiary Care Hospital in Egypt

2019 ◽  
Vol 15 (4) ◽  
pp. 304-311
Author(s):  
Mervat E. Behiry ◽  
Sahar A. Ahmed ◽  
Eman H. Elsebaie
Keyword(s):  
Quality Of Life ◽  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Lupus Erythematosus ◽  
Tertiary Care ◽  
Damage Index ◽  
Life Questionnaire ◽  
Care Hospital ◽  
Systemic Lupus

: Systemic Lupus Erythematosus (SLE) has a profound impact on quality of life. Objective: The objective of this study was to explore the quality of life among Egyptian SLE patients and to assess its relationships with demographic and clinical features. Methods: One hundred sixty-four SLE patients were recruited for this study. Demographic information; clinical parameters; disease activity, as evaluated by the systemic lupus erythematosus Disease Activity Index; and organ damage, as assessed by the systemic lupus international Collaborative Clinics/American College of Rheumatology Damage Index, were reported. Quality of life was assessed with a quality of life questionnaire specifically designed for patients with systemic lupus erythematosus; the questions are grouped in the following six domains: physical function, sociooccupational activities, symptoms, treatment, mood, and self-image. Higher values indicate poorer quality of life. Conclusion: Poor quality of life among Egyptian SLE patients and disease activity are strongly related to impaired lifestyles in these patients.

The Factors of the Holistic Health Status of Thai Elders in the 21st Century

2020 ◽  
Vol 13 ◽  
Author(s):  
Manyat Ruchiwit ◽  
Kanjanee Phanphairoj ◽  
Tipsuda Sumneangsanor ◽  
Jinpitcha Mamom
Keyword(s):  
Health Status ◽  
21St Century ◽  
Emotional Health ◽  
Holistic Health ◽  
Alpha Coefficient ◽  
Factors Affecting ◽  
Stress Prevention ◽  
The Social ◽  
Whole Person

Background: Holistic health is important to life, perhaps especially for elders. Focus should not only be placed on illness or the physical part of their lives, but the whole person should also be considered, emphasizing the connection of their mind, body, and the environment. Objective: The aims of this research were to study the factors of the holistic health status (HHS) of the Thai elderly in the 21st century, and to predict the factors affecting the development of HHS in 3 aspects; physical health status, mental and emotional health status, and the social and environmental health status. Method: The data were collected from 928 Thai elderly aged 60 and over in the central part of Thailand. The research instrument was a questionnaire whose reliability was confirmed using a Cronbach alpha coefficient of .904. Multiple regression analysis was used for predicting the factors of HHS. Results: The results indicated that stress, increased age, gender, and social participation can predict the HHS of Thai elders, and stress can predict each 3 aspects. Therefore, stress prevention activities are very important for enhancing the HHS of Thai elders. Conclusion: The findings of this research can be used to improve the quality of life of elders in the 21st century.

scholarly journals The effect of care transition pathway implementation on patients undergoing joint replacement during the COVID-19 pandemic: a quasi-experimental study from a tertiary care hospital orthopedic department in Beijing, China

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ya-ping Xu ◽  
Pei-yu Zhao ◽  
Yi-tong Bai ◽  
Shuang Li
Keyword(s):  
Joint Replacement ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Transition ◽  
Control Group ◽  
Care Hospital ◽  
Quasi Experimental ◽  
And Control ◽  
Beijing China

Abstract Background The coronavirus disease (COVID-19) pandemic has had a massive impact on individuals globally. The Chinese government has formulated effective response measures, and medical personnel have been actively responding to challenges associated with the epidemic prevention and control strategies. This study aimed to evaluate the effect of the implementation of a care transition pathway on patients that underwent joint replacement during the COVID-19 pandemic. Methods A quasi-experimental study was designed to evaluate the effect of implementing a care transition pathway for patients who underwent joint replacement during the COVID-19 pandemic in the orthopedic department of a tertiary care hospital in Beijing, China. Using a convenient sampling method, a total of 96 patients were selected. Of these, 51 patients who had undergone joint replacement in 2019 and received treatment via the routine nursing path were included in the control group. The remaining 45 patients who underwent joint replacement during the COVID-19 epidemic in 2020 and received therapy via the care transition pathway due to the implementation of epidemic prevention and control measures were included in the observation group. The quality of care transition was assessed by the Care Transition Measure (CTM), and patients were followed up 1 week after discharge. Results The observation group was determined to have better general self-care preparation, written planning materials, doctor-patient communication, health monitoring, and quality of care transition than the control group. Conclusions A care transition pathway was developed to provide patients with care while transitioning through periods of treatment. It improved the patient perceptions of nursing quality. The COVID-19 pandemic is a huge challenge for health professionals, but we have the ability to improve features of workflows to provide the best possible patient care.

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