부산대학교 도서관

Purposes: Ambulatory surgeries are planned surgeries instead of expected hospitalization and can reduce cost and save time. The objective of this study is to explore the nursing needs and care satisfaction of patients undergoing ambulatory surgeries at a regional teaching hospital in central Taiwan. Methods: Cross-sectional survey was adopted. Participants of this study were patients receiving ambulatory surgeries at a regional teaching hospital in central Taiwan. After this study was approved by the institutional review board, a structured questionnaire was conducted from January 2 to June 30, 2019, and a total of 139 valid responses were retrieved. This questionnaire consisted of demographic information, patients' nursing needs, and care satisfaction. SPSS 22.0 was used for statistical analysis. Results: The mean age of the patients was 42.83 ± 14.62 years old. Most of them were men, had an education level of university or college, were married, had no surgical experience, had religious beliefs, were undergoing general surgery, had a job, had average health condition, had their parents, siblings, or children as their company to the surgery, were receiving local anesthesia, and decided to receive the surgery themselves. The scores for the needs and satisfaction during the entire surgical period were the highest after the surgery, followed by during the surgery and before the surgery. Patients who had an education level no lower than a master's degree, were married, received general surgery, had excellent health condition, had surgeries decided by the surgeon, and received local anesthesia had significantly higher mean scores during different surgery stages compared to those of patients who had education levels no higher than high school or vocational high school, were single, received plastic surgery, had average or poor health conditions, had surgeries decided by themselves, and received general anesthesia. Patients who had surgeries decided by the surgeon and received local anesthesia scored significantly higher in the mean care satisfaction compared to the patients who had surgeries decided by themselves and received general anesthesia. Patients had a high nursing need and were satisfied with the care they received. Having surgeries decided by the surgeon, receiving local anesthesia, and the nursing needs during and after the surgery had significant predictive power over the nursing satisfaction of the entire period. Conclusions: Hospitals must pay attention to the care quality of the entire process of ambulatory surgeries and provide patient-centered and adequate services, thereby making the ambulatory surgical patients feel at ease and earning their trust.