Satisfaction Level of Hospitalized COVID-19 Patients with Healthcare Facilities and Its Association with Knowledge, Attitude and Practice | Chapter 11 | Medical Research and Its Applications Vol. 10

 

Background: Patient satisfaction surveys may be a useful tool for improving the efficiency of services provided to the target population. Patient satisfaction is critical for ensuring the quality of the healthcare system, especially in the context of the COVID-19 pandemic. Patient satisfaction may be impacted by the public's knowledge, attitudes, and practices (KAP) regarding COVID-19. The current study was carried out since patient satisfaction and KAP are crucial for managing any public health emergency.

 

Aim: This study aimed to find out the satisfaction level of hospitalized COVID-19 cases in the Jaipur district of Rajasthan, India.

 

Methods: This present study was a community-based online cross-sectional survey, conducted during an unlock period of the COVID-19 pandemic to find out the level of hospital satisfaction of respondent and to associate it with their knowledge, attitude, and practice.

 

The Google Forms questionnaire link was shared on various WhatsApp groups. The data were collected about patient satisfaction and KAP from those (n=68) who had been admitted to any of the hospitals in past for COVID-19. The collected data were analyzed by the student chi-square and Pearson’s correlation to find any association between different variables. A p-value <.05 was considered as significant.

 

Results: More than half of hospitalized patients were satisfied with doctors, particularly with the medical explanation of COVID-19, treatment plan, and hospital stay. No discernible difference was depicted in patient satisfaction scores between private (47.27) and government (48.29) hospitals. Patients' satisfaction was significantly positively correlated with good COVID-19 knowledge (r=.511) and practices (r=.385). High patient satisfaction in the present study may be explained by patients’ high knowledge about COVID-19 as the majority of participants had higher education.

 

Conclusion: The present study has important implications for achieving a high level of patient hospital satisfaction by imparting knowledge to people about COVID-19. Lack of knowledge could be one of the main reasons behind workplace violence against healthcare workers. Therefore, we must increase the patient's understanding of the disease so that the patient is satisfied with the therapy received, which may improve the treatment compliance and doctor-patient relationship.

 

 

Please see the link:- https://doi.org/10.9734/bpi/mria/v10/1249

Comparison of PERI-Operative and Post-operative Events: Spinal Anesthesia versus General Anesthesia for Open Cholcystectomy | Chapter 2 | Recent Developments in Medicine and Medical Research Vol. 10

 The goal of this study was to look at the perioperative and postoperative events, as well as the feasibility, effectiveness, and safety of open cholecystectomy under spinal anaesthesia (SA) versus general anaesthesia (GA).

Methods and Materials: All ASA I and ASA II patients with diagnosed cholelethiasis who were admitted and consented for elective open chlecystectomy were randomly divided into two groups. The SA group received 3.00 ml to 3.5 ml of 0.5 percent hyperbaric Bupivacane intrathecally during open Cholecystectomy, while the GA group received propofol, Fentanyl Citrate, Atracurium, and Halothane. Anxiety, pain, nausea and vomiting, respiratory problems, and haemodynamic stability are all treated with other medicines. The right oblique incision is used for all open chlolecystectomy procedures. Intraoperative and postoperative events were recorded for two days. The key research areas were. Intraoperative complications (hypertension, bradycardia, nausea/vomiting, difficulty breathing, patient and surgeon satisfaction), PONV, and analgesia requirements

From July 2016 to December 2017, 200 patients with cholelithiasis were admitted for open cholecystectomy, 150 of whom received appropriate spinal anaesthetic and 50 of whom preferred general anaesthesia. INTRA-OPERATIVELY, 18 patients in the SA group had respiratory difficulty, which was relieved by 100% O2 with a ventimask, 39 patients had hypotension, which was treated with injection Mephentermine, only 2 patients received injection Ephidrine, 12 patients had nausea and vomiting, which was treated with antiemetic (Injection Ondensetron), and 22 patients had pain, which was treated with injection tramadol. POST-OPERATIVELY: The pain-free interval and PONV were measured in both groups of patients.

Conclusion: In terms of intraoperative events, post-operative analgesia, PONV, cost effectiveness, and surgeon and patient satisfaction, patients having uncomplicated open cholecystectomy under spinal anaesthetic are safer and more effective than G.A.

Author(S) Details

Charan Singh
Department of Anesthesiology, Malkhan Singh District Hospital, Aligarh, Uttar Pradesh, India.

Ashwini Nigam
Department of Medicine, S.N. Medical College Agra, India.

Ram Bihari
Consultant Surgeon, India.

Aziz Khan
Department of Statistics, Aligarh Muslim University, Aligarh, India.

Deepak Kumar
Medicine Department, S.N. Medical College, Agra, India.

View Book:- https://stm.bookpi.org/RDMMR-V10/article/view/4614