Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Authors (including presenting author) :
Kam HHE(1), Fong KY(1), Chan KY(1), So SPC(1)
Affiliation :
(1)Surgical Department, Our Lady of Maryknoll Hospital
Introduction :
At Our Lady of Maryknoll Hospital, we recognize the challenges faced by patient after surgery. Discharged patients often hesitate to seek follow-up care, leading to delayed detection of post-operative complications. Despite receiving post-operative education, knowledge deficits on wound care persist. To proactive approach by providing telephone follow-up and comprehensive discharge education. Our goal is to bridge the gaps in patient understanding, prevent the worsening of health issues, and facilitate a smoother recovery journey. We believe that by offering ongoing support and guidance, we can empower patients to take control of their recovery and ensure better post-operative outcomes.
Objectives :
(1) To early detect the onset of postoperative complications; (2) To reduce depression, anxiety and stress of patient after discharge; (3) To empower surgical patient’s recovery at home; (4) To provide continuity of care to patient; (5) To increase patients’ satisfaction level; (6) To reduce receiving unplanned telephone call from discharged surgical patient.
Methodology :
Methodology: Subjects were elective operations patients in OLMH surgical department. Questionnaire (6-point scale) were employed for project evaluation. A discharge checklist was designed to standardize the discharge education. One telephone follow up offered on post operation day 3 to day 10 for discharged patient. Offered subsequent telephone follow up for patient with complications detected. A telephone follow up checklist was designed to guide the staff. Number of unplanned telephone call from discharge patient were recorded for comparing the result before and after intervention. Data collection period was from April 2023 to September 2023. Redevelopment project of OLMH, surgical service decanted to HKBH B6S and QEH T7DS. From April 2023 to September 2023, there were 62 surgical clients from HKBH B6S and 351 clients from QEH T7DS joined the program. Total 412 clients completed the discharge support program questionnaire.
Result & Outcome :
After intervention, 0.73% clients detected to have postoperative complication. Early intervention provided. For depression, anxiety, and stress level, 22.37% client was reduced extremely significant, 55.26% client was reduced very significant, and 21.05% client was reduced significant. 1.32% client were no different. For empower client’s competent in recovery at home, 53.16% client were extremely competent, 40.05% client were very competent, and 6.55% clients were competent. 0.24% client were not competent. For continuity of care, 53.64% client stated the program was extremely useful, 39.56% client stated program was very useful and 6.55% client stated program was useful to provide continuity of care. For increasing patients’ satisfactory level, 56.8% client extremely satisfactory, 39.08% client very satisfactory and 4.13% client were satisfactory with the program. Before program, 3-4 unplanned telephone call/month received. After program, 0 unplanned call/month received from patient.
