Satisfaction, Patient
Conditions
Keywords
NSQIP Surgical risk calculator, Preoperative counselling, Anxiety
Brief summary
Surgical patients undergo preoperative counseling which varies in quality and duration. Proper communication during the preoperative consultation can deliver relevant health information and guide improvement of perioperative health status. The methods, however, are non-standardized and the explanation of the postoperative course is generally vague or varies from person to person. We hypothesize that high-risk patients who receive pre-operative counseling with the help of the NSQIP surgical risk calculator compared to the current standard of care will have higher satisfaction concerning information on the perioperative journey.
Detailed description
The control arm will receive standard preoperative counselling and written consent will be taken. The NSQIP arm will receive standard preoperative counselling along with the details provided by NSQIP Surgical risk calculator and written consent will be taken. Anxiety among the patients will be accessed with the use of Preoperative anxiety measured by Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire written in Nepali. Duration of counselling period will be noted from the start of counselling session till the consent is signed.
Interventions
OTHERCounselling with NSQIP Surgical risk calculator
Use of NSQIP surgical risk calculator to check for patient satisfaction regarding pre operative counseling.
Sponsors
Nepal Mediciti Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ASA III or above and/or age above 65 high-risk surgical patients undergoing surgery at Nepal Mediciti Hospital
Exclusion criteria
* Adults who cannot consent Pregnant women Non-Nepali speakers Consent by surrogate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The difference in patient satisfaction as assessed by a 7-point Likert scale | 5 MONTHS | The study will compare patient satisfaction scores between the two arms of the study groups to determine if there is a difference in patient satisfaction. It will be based on a scale of 1 to 7, 7 being the most satisfied and 1 being the least. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative anxiety measured by Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire written in Nepalese | 5 months | Anxiety evaluation during preoperative counselling will be done by APAIS using a five point scale,5 being the most anxious and 1 being the least. |
| Duration of counseling | 5 months | time taken to complete preoperative counseling which will be noted from start of counseling to the time when consent is signed. |
Countries
Nepal
Outcome results
None listed