2020 Volume 48 Issue 3 Pages 149-153
In recent years, perioperative management has changed to enhance both the prevention of postoperative complications and early recovery of physical strength. At St. Marianna University School of Medicine, Yokohama City Seibu Hospital, we thought it necessary to review postoperative analgesia methods, bed rest time, fasting time, and other factors. We conducted an anonymous patient-reported questionnaire survey of 300 adult patients who underwent routine surgery from March 31 to April 30, 2016. We examined the cases of 176 patients undergoing general anesthesia among the 193 survey responders. As a result, 52% of patients felt that their pain was unpleasant, 45% felt uncomfortable with a dry mouth, 42% felt uncomfortable with the length of bed rest, 21% felt hungry, and 18% felt nauseous. Twenty-five (25%) of the 91 patients with a urethral catheter felt it to be uncomfortable. These results indicated that postoperative pain management, time on bed rest, oxygen administration time, and fasting time could be reviewed and that the postoperative recovery process could be improved. Now, we have revised our policy to allow the anesthesia department to provide some of the postoperative instructions to patients that were previously provided by the department in charge. Also, we are revising the clinical path in cooperation with the Clinical Path Committee.
