Background: Quality is important in every setting especially in the health service where the needs of patients should be an utmost priority. However, this is sometimes not the situation in most health care centres due...Background: Quality is important in every setting especially in the health service where the needs of patients should be an utmost priority. However, this is sometimes not the situation in most health care centres due to increasing stress because of inadequate resources and increasing demands for services. This present study seeks to assess quality assurance in the management of wounds. Method: A descriptive survey involving 280 participants;data was collected using structured questionnaire. The questionnaires included some quality indicators which were used to assess the quality of care patients received from the health facility. Results: Out of the 280 participants, females were 57.1% (n = 160) and males, 42.9% (n = 120). Ages of the participants ranged from 15 - 70+ years with a mean age of 35.8 ± 1.5;28.6% (n = 80) of staff had an excellent attitude while 5.7% (n = 16) had a fair attitude. The condition of 112 did not require surgery (40.0%), however, out of the 168 who underwent surgery, 32 (19.0%) were not satisfied while 136 (81.0%) were satisfied. Also, 97.1% (n = 272) were accorded privacy, 51.4% (n = 144) were assured of confidentiality, 48.6% (n = 136) were educated on diagnoses and treatment, 91.4% (n = 256) understood pharmacy instruction, 57.1% (n = 160) were satisfied with time spent in the facility, 97.1% (n = 272) were not shun by nurses because of their wounds. Conclusion: Patient satisfaction should be the priority of all persons working in the health facility. In accessing quality service, patient satisfaction can be met if quality assurance measures are put in place. This quality assurance measures should include all units of the health delivery system since it would help to ensure judicious use of resources in order to meet the health needs of patients.展开更多
Background:Using a randomized controlled trial(RCT),to assess the efficacy of the folded technique of self-adherent wrap to eyes after orbital tumour extirpation and compare it with the classic technique.Methods:A sin...Background:Using a randomized controlled trial(RCT),to assess the efficacy of the folded technique of self-adherent wrap to eyes after orbital tumour extirpation and compare it with the classic technique.Methods:A single-centre,prospective,randomized,controlled study was conducted among 128 patients who underwent orbital tumour extirpation in this study.The folded and classic techniques of applying self-adherent wraps were randomly allocated to patients(1:1).The primary endpoint was the interface pressure on the affected eye.Secondary efficacy endpoints were the interface pressure above and below the ear of the affected side,above the ear of the non-affected side,and discomfort scores.Postoperative complications were observed for 24 hours.Results:The interface pressure with the folded technique on the affected eye was neither inferior nor superior to the classic technique(1.33±0.07 vs.1.41±0.09 mmHg,P=0.480).Most importantly,the pressure at three other points outside of the affected eye,including above and below the ear of the affected side,and above the ear of the non-affected side,were significantly higher when using the classic technique than when using the folded technique(P=0.041,0.019,and 0.047,respectively).Discomfort scores were higher in the classic technique group than in the folded technique group(2.93±0.30 vs.1.52±0.19,P≤0.001).Conclusions:Findings demonstrated the advantages of using folded technique to apply self-adherent wrap for wounds after orbital tumour extirpation with lower interface pressure outside of the affected eye and patient discomfort scores,without influencing pressure on the affected eye comparing with the classic technique.展开更多
文摘Background: Quality is important in every setting especially in the health service where the needs of patients should be an utmost priority. However, this is sometimes not the situation in most health care centres due to increasing stress because of inadequate resources and increasing demands for services. This present study seeks to assess quality assurance in the management of wounds. Method: A descriptive survey involving 280 participants;data was collected using structured questionnaire. The questionnaires included some quality indicators which were used to assess the quality of care patients received from the health facility. Results: Out of the 280 participants, females were 57.1% (n = 160) and males, 42.9% (n = 120). Ages of the participants ranged from 15 - 70+ years with a mean age of 35.8 ± 1.5;28.6% (n = 80) of staff had an excellent attitude while 5.7% (n = 16) had a fair attitude. The condition of 112 did not require surgery (40.0%), however, out of the 168 who underwent surgery, 32 (19.0%) were not satisfied while 136 (81.0%) were satisfied. Also, 97.1% (n = 272) were accorded privacy, 51.4% (n = 144) were assured of confidentiality, 48.6% (n = 136) were educated on diagnoses and treatment, 91.4% (n = 256) understood pharmacy instruction, 57.1% (n = 160) were satisfied with time spent in the facility, 97.1% (n = 272) were not shun by nurses because of their wounds. Conclusion: Patient satisfaction should be the priority of all persons working in the health facility. In accessing quality service, patient satisfaction can be met if quality assurance measures are put in place. This quality assurance measures should include all units of the health delivery system since it would help to ensure judicious use of resources in order to meet the health needs of patients.
基金This work was supported by the National Natural Science Foundation of China(81700875,81870689,81670887)the Sun Yat-sen University Clinical Research 5010 Program,China(2014014).
文摘Background:Using a randomized controlled trial(RCT),to assess the efficacy of the folded technique of self-adherent wrap to eyes after orbital tumour extirpation and compare it with the classic technique.Methods:A single-centre,prospective,randomized,controlled study was conducted among 128 patients who underwent orbital tumour extirpation in this study.The folded and classic techniques of applying self-adherent wraps were randomly allocated to patients(1:1).The primary endpoint was the interface pressure on the affected eye.Secondary efficacy endpoints were the interface pressure above and below the ear of the affected side,above the ear of the non-affected side,and discomfort scores.Postoperative complications were observed for 24 hours.Results:The interface pressure with the folded technique on the affected eye was neither inferior nor superior to the classic technique(1.33±0.07 vs.1.41±0.09 mmHg,P=0.480).Most importantly,the pressure at three other points outside of the affected eye,including above and below the ear of the affected side,and above the ear of the non-affected side,were significantly higher when using the classic technique than when using the folded technique(P=0.041,0.019,and 0.047,respectively).Discomfort scores were higher in the classic technique group than in the folded technique group(2.93±0.30 vs.1.52±0.19,P≤0.001).Conclusions:Findings demonstrated the advantages of using folded technique to apply self-adherent wrap for wounds after orbital tumour extirpation with lower interface pressure outside of the affected eye and patient discomfort scores,without influencing pressure on the affected eye comparing with the classic technique.
