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Peri-operative care in adults with congenital heart disease: room for improvement in after care

Published online by Cambridge University Press:  02 October 2012

Dounya Schoormans ,
Ellen M. A. Smets ,
Ronald Zwart ,
Mirjam A. G. Sprangers ,
Tonny H. M. Veelenturg ,
Bas A. J. M. de Mol ,
Mark G. Hazekamp ,
Dave R. Koolbergen ,
Vladimir Sojak  and
Berto J. Bouma
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Dounya Schoormans*
Affiliation:
Department of Medical Psychology, Academic Medical Center, Amsterdam, The Netherlands Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands
Ellen M. A. Smets
Affiliation:
Department of Medical Psychology, Academic Medical Center, Amsterdam, The Netherlands
Ronald Zwart
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
Mirjam A. G. Sprangers
Affiliation:
Department of Medical Psychology, Academic Medical Center, Amsterdam, The Netherlands
Tonny H. M. Veelenturg
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
Bas A. J. M. de Mol
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, The Netherlands
Mark G. Hazekamp
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, The Netherlands Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands
Dave R. Koolbergen
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, The Netherlands Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands
Vladimir Sojak
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, The Netherlands Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands
Berto J. Bouma
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
Maarten Groenink
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands Department of Radiology, Academic Medical Center, Amsterdam, The Netherlands
Matthijs S. M. Boekholdt
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
Ad P. C. M. Backx
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
Barbara J. M. Mulder
Affiliation:
Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands
*
Correspondence to: D. Schoormans, MPhil, Department of Medical Psychology, Academic Medical Center, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands. Tel: +31(0)205668737; Fax: +31(0)205669104; E-mail: [email protected]
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Abstract

Background

Patient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.

Methods

Patient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.

Results

Data were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21% of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.

Conclusions

Patients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.

Keywords

Patient satisfactionhealth careopen-heart surgeryspecialised nurses
Type
Original Articles
Information
Cardiology in the Young , Volume 23 , Issue 4 , August 2013 , pp. 540 - 545
Copyright
Copyright © Cambridge University Press 2012 

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