Síndrome de Cowden. Importancia del diagnóstico precoz / Cowden's syndrome. Importance of early diagnosis

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Estudio descriptivo de la mejora de la calidad percibida en los pacientes sometidos a cirugía bariátrica tras la implantación de una vía clínica / Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery

Objetivo. Evaluar el grado de satisfacción de los pacientes incluidos en una vía clínica de cirugía laparoscópica de la obesidad y analizar los factores relacionados con la satisfacción. Material y métodos. A una cohorte consecutiva de pacientes se les invitó a cumplimentar, de forma anónima y voluntaria, la encuesta SERVQHOS el penúltimo día de su alta hospitalaria. Resultados. De un total de 103 pacientes (53 mujeres), 71 (70%) respondieron la encuesta. Un 97,3% respondió «como se esperaba» o «por encima de las expectativas» a las cuestiones planteadas. El 98,6% se mostró «muy satisfecho» o «satisfecho» con la atención recibida y el 97,2% recomendaría el hospital a otras personas. Las cuestiones mejor relacionadas con la satisfacción global fueron la tecnología empleada (p=0,008), la apariencia del personal (p=0,019), el interés del personal sanitario por cumplir lo que promete (p=0,002) y para solucionar los problemas del enfermo (p=0,021), la información prestada por el equipo médico (p=0,039) y el tiempo de espera para ser atendido por el médico (p=0,002). En el estudio multivariante, la única variable con capacidad predictiva, en relación con la satisfacción global, fue el trato personalizado (r=0,52). La mediana de estancia hospitalaria fue de 3 días, y el 76% de los encuestados la consideró suficiente. El porcentaje de máxima satisfacción fue significativamente inferior en las mujeres, los solteros, aquellos sin ocupación profesional y con estudios universitarios. Conclusiones. Los pacientes obesos mórbidos incluidos en una vía clínica de cirugía bariátrica tienen una buena percepción de la asistencia sanitaria recibida(AU)

Objectives. To evaluate the level of perceived satisfaction in patients undergoing bariatric procedures after implementing a clinical pathway, and to analyse factors related to a high degree of satisfaction. Material and methods. A cohort of patients was invited to fulfil, anonymously and voluntarily, a SERVQHOS survey the day before hospital discharge. Results. Seventy-one (53 female) out of 103 patients (70%) responded to the questionnaire. A total of 97.3% of patients who completed the survey answered to the questions "as expected" or "above expectations". Most (98.6%) of the patients were "very satisfied" or "satisfied" with the care received, and 97.2% would recommend the hospital to others. Questions better related to overall satisfaction were technology used (P=.008), staff appearance (P=.019), the interest of staff to fulfil a promise (P=.002), and to solve the problems of the patient (P=.021), information provided by the medical staff (P=.039) and waiting time until being seen by the doctor (P=.002). In the multivariate study, only the "personalized care" achieved the category of a predictive variable (r=0.52). Median hospital stay was 3 days, and 76% of patients considered it adequate. The percentage of highest satisfaction was significantly lower in female, singles, unemployed, and those with academic studies. Conclusions. Morbid obese patients included in a clinical pathway of bariatric surgery had a good perception with the care received(AU)

[Descriptive study on the improvement of quality perceived after the introduction of a clinical pathway by patients subjected to bariatric surgery]. / Estudio descriptivo de la mejora de la calidad percibida en los pacientes sometidos a cirugía bariátrica tras la implantación de una vía clínica.

OBJECTIVES: To evaluate the level of perceived satisfaction in patients undergoing bariatric procedures after implementing a clinical pathway, and to analyse factors related to a high degree of satisfaction. MATERIAL AND METHODS: A cohort of patients was invited to fulfil, anonymously and voluntarily, a SERVQHOS survey the day before hospital discharge. RESULTS: Seventy-one (53 female) out of 103 patients (70%) responded to the questionnaire. A total of 97.3% of patients who completed the survey answered to the questions "as expected" or "above expectations". Most (98.6%) of the patients were "very satisfied" or "satisfied" with the care received, and 97.2% would recommend the hospital to others. Questions better related to overall satisfaction were technology used (P=.008), staff appearance (P=.019), the interest of staff to fulfil a promise (P=.002), and to solve the problems of the patient (P=.021), information provided by the medical staff (P=.039) and waiting time until being seen by the doctor (P=.002). In the multivariate study, only the "personalized care" achieved the category of a predictive variable (r=0.52). Median hospital stay was 3 days, and 76% of patients considered it adequate. The percentage of highest satisfaction was significantly lower in female, singles, unemployed, and those with academic studies. CONCLUSIONS: Morbid obese patients included in a clinical pathway of bariatric surgery had a good perception with the care received.