Percepção dos pacientes a respeito da utilidade do Ambulatório de Avaliação Pré-anestésica em um país caribenho em desenvolvimento

Seetharaman Hariharan; Deryk Chen; Nicholas Jurai; Amanda Partap; Rakesh Ramnath; Dinesh Singh

doi:10.1590/S0034-70942009000200007

Scientific Article

Percepção dos pacientes a respeito da utilidade do Ambulatório de Avaliação Pré-anestésica em um país caribenho em desenvolvimento

Patient perception of the utility of the Preanesthetic Clinics in a caribbean developing country

Seetharaman Hariharan; Deryk Chen; Nicholas Jurai; Amanda Partap; Rakesh Ramnath; Dinesh Singh

http://dx.doi.org/10.1590/S0034-70942009000200007 Braz J Anesthesiol, vol.59, n2, p.194-205, 2009

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JUSTIFICATIVA E OBJETIVOS: A percepção dos pacientes a respeito da utilidade do Ambulatório de Avaliação Pré-anestésica e o fluxo de pacientes não foram extensamente estudados no mundo em desenvolvimento. O objetivo deste estudo foi analisar esse aspecto. MÉTODO: Foi realizada pesquisa aplicando-se questionário entre pacientes atendidos no Ambulatório de Avaliação Pré-anestésica de um hospital terciário de ensino em Trinidad. A título de comparação, esse questionário também foi distribuído aos pacientes atendidos no Ambulatório de Cirurgia Geral. Os parâmetros demográficos, incluindo idade, sexo, nível escolar e estado físico ASA foram anotados. Outros dados registrados incluíam o fluxo de pacientes e detalhes a respeito da equipe médica. RESULTADOS: Dos 220 pacientes atendidos no Ambulatório de Avaliação Pré-anestésica, 92,7% participaram do estudo. A validade do questionário foi apoiada pelo coeficiente alfa de Cronbach (0,67). O tempo médio para o encaminhamento do Ambulatório de Cirurgia para a Clínica Pré-anestésica foi de 50 dias; a espera média na clínica foi de 2,7 horas e da espera pela intervenção cirúrgica após a aceitação pelo ambulatório foi de 13 dias. As opiniões dos pacientes a respeito dos benefícios da clínica e tempo de espera não foram influenciadas pela idade nem pelo nível educacional. Na opinião dos pacientes, o atendimento no Ambulatório de Avaliação Pré-anestésica foi satisfatório, mas os tempos de espera foram considerados longos. CONCLUSÕES: Na opinião dos pacientes, a consulta no Ambulatório de Avaliação Pré-anestésica antes do procedimento cirúrgico foi útil e o atendimento foi considerado satisfatório.

Palavras-chave

AVALIAÇÃO, Pré-anestésica

Abstract

BACKGROUND AND OBJECTIVES: Perception of the patients regarding the utility of the Preanesthetic Clinics and flow time in clinics has not been widely studied in the developing world. The present study aims to study this aspect. METHODS: A self-administered 15-item questionnaire survey was conducted among patients attending the Preanesthetic Clinics at a tertiary care teaching hospital in Trinidad. The questionnaire was also distributed to the patients attending the General Surgical Clinic for comparison. Another questionnaire was distributed among the staff of the Preanesthetic Clinic. Patient demographics including age, gender, and educational status and American Society of Anesthesiologists physical status were noted. Other data recorded were patient flow time and details of attending staff. RESULTS: Of the 220 patients who attended the Preanesthetic Clinics, 92.7% participated in the study. The reliability of the questionnaire was supported by Cronbach's alpha coefficient (0.67). The median time for referral from the surgical clinic to Preanesthetic Clinic was 50 days, median waiting time in the clinic was 2.7 hours, and the median waiting time for surgery after acceptance in the clinic was 13 days. The patients' opinions regarding the benefits of the clinic, length of the waiting time was independent of their age and educational status. Patients felt that attending the Preanesthetic Clinic was beneficial and not costly to them, although the waiting times were found to be longer. CONCLUSIONS: Patients perceive that attending the Preanesthetic Clinic has been useful before the surgical procedure and the care they received in the clinic was satisfactory

Keywords

EVALUATION, Pre-anesthetic

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Percepção dos pacientes a respeito da utilidade do Ambulatório de Avaliação Pré-anestésica em um país caribenho em desenvolvimento

Patient perception of the utility of the Preanesthetic Clinics in a caribbean developing country

Seetharaman Hariharan; Deryk Chen; Nicholas Jurai; Amanda Partap; Rakesh Ramnath; Dinesh Singh

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