Authors (including presenting author) :
YIP PL (1), LAM KM (1), CHENG CP (1), LAU CW (1), TAM OY (2), KWAN WS (2), MAK MY (2)
Affiliation :
(1) Department of Anaesthesia and Operation Theatre Services, Tuen Mun Hospital, New Territories West Cluster, Hospital Authority, Hong Kong (2) Department of Physiotherapy, Tuen Mun Hospital, New Territories West Cluster, Hospital Authority, Hong Kong
Introduction :
Surgery school revolutionize concept of preoperative patient care in early engagement and provide a multidisciplinary one stop service to patients. NTWC initiated surgery school services on September, 2021; especially for patients scheduled for major and ultra-major operations. Provide patients with a comprehensive understanding on what to expect during the perioperative period, motivate and engage patients to take up an active role in preparing themselves for the intended operations, get patients involved in the perioperative preparation; optimization and training to maximize the surgical outcome.
Objectives :
(1) Outline existing patient’s pathway of surgery school in NTWC including patients’ referral; surgery school education; individual consultation and online perioperative nurse clinic follow up. (2) To follow up and review of surgery school patients service utilization, clinical outcome, patients and staff satisfaction rate.
Methodology :
Prospective cohort of patients undergo surgery school programme since September, 2021 will be collected, Total no of patients referred to surgery school, patient ‘s demographic data, type of scheduled operations, patients triaged for individual consultations, premorbid medical optimization, home exercise. Designated pro forma and patient ‘s satisfaction of surgery school will be collected. Individual patient’s satisfaction survey after surgery school will be collected by phone interview 1 week before operation date concerning the satisfaction outcome of patient’s compliance.
Result & Outcome :
From October 2021 to December 2022, total 1523 no of patient and 626 relatives were obtained for the service from different specialties. 325 patients and relatives triaged to surgery school individual consultation including perioperative nurse assessment and physiotherapy training: 23 patients with DM referred for drug, diet control and advise on close monitoring, 7 patients with poor BP control received further education on advice for hypertensive control. 29 patients advised on smoking and alcohol cessation. 1 patient with multiple premorbid condition has been interviewed and emphasis on drug compliance. 109 patients referred to preoperative home training exercise and 10 patients being followed up online perioperative nurse clinic. Total 784 satisfaction questionnaire has been collected. 99% of patients reported improving the knowledge of pre-operative and post-operative preparation. 97% of patients reported reducing anxiety and stress. 85% of patients reported wiliness of behavioral changes. To conclude, 99.5% of patients reported satisfaction with surgery school. Surgery school is able to have early patient’s preoperative engagement and empowerment with a high patients and staff satisfaction. Furthermore, data collection for hospital length of stay and post-operative pulmonary complication would be considered by post -operative round in the future to assess whether surgery school program can be translated to a better postoperative surgical outcome.
