Diagnostic Support for the Surgical Patient: The Experiences and Challenges, As Seen by Practitioners in Resource-Poor Setting

IF 1.7 4区医学 Q2 SURGERY

European Surgical Research Pub Date : 2023-04-30 DOI:10.33425/2689-1093.1053

Rex Friday Ogoronte Alderton Ijah, Nkemsinachi M Onodingene, Linda U Iroegbu-Emeruem, Friday E Aaron, Michael Ogamba, Akpevweoghene D Maduka, Ibinabo Oboro

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引用次数: 0

Abstract

Background: The input of laboratory medicine has no doubt improved surgical practice and will continue to impact positively on patient care. The aim of this study was to explore the experiences of practitioners and diagnostic challenges if any, encountered in the care of surgical patients in Port Harcourt in the last quarter of year 2022. Materials and Methods: A descriptive observational study was carried out among total population of consenting health workers (medical doctors, laboratory scientists / technologists, and technicians) in the Surgery and Diagnostic Services Departments in two teaching hospitals in Port Harcourt, using self-administered questionnaires. Data on experiences and challenges was analysed using the Statistical Package for Social Sciences (SPSS) version 20.0. Results: The respondents had a male to female ratio of 1.3:1, mean age of 35.47 ± 8.44 years, mean years in practice of 7.58 ± 6.97 years, and 171 (98.3%) were Christians. One hundred and sixteen (66.7%) respondents were aware of delay in diagnostic services, in varying degrees. Lack of reagents (49 = 28.2%), inadequate personnel (18 = 10.3%), long processing time (15 = 8.6%) and poor electric power supply (9 = 5.2%) were the most common reasons for delay in diagnostic test results. Diagnostic challenges were highlighted, occurrence of medico-legal issues was reported, and solutions proffered. Conclusion: The professionals practicing in the diagnostic / surgical departments were aware and do experience delays in diagnostic test results and errors (reported by a few) that affects surgical services in our environment. Their experiences and challenges were highlighted and recommendations were made.

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对外科病人的诊断支持:经验和挑战，在资源贫乏的环境下从业人员的看法

背景:检验医学的投入无疑改善了外科实践，并将继续对患者护理产生积极影响。本研究的目的是探讨2022年最后一个季度在哈科特港的外科病人护理中遇到的从业人员的经验和诊断挑战。材料和方法:在哈科特港两所教学医院的外科和诊断服务部门的全体同意的卫生工作者(医生、实验室科学家/技术人员和技术人员)中进行了一项描述性观察研究，采用自我管理的问卷调查。有关经验和挑战的数据使用社会科学统计软件包(SPSS) 20.0版进行分析。结果:被调查者男女比例为1.3:1，平均年龄为35.47±8.44岁，平均执业年龄为7.58±6.97岁，其中基督徒171人(98.3%)。116名(66.7%)受访者在不同程度上意识到诊断服务的延误。缺少试剂(49例= 28.2%)、人员不足(18例= 10.3%)、处理时间长(15例= 8.6%)和电力供应差(9例= 5.2%)是导致诊断检测结果延误的最常见原因。强调了诊断方面的挑战，报告了发生的医疗法律问题，并提出了解决办法。结论:在诊断/外科执业的专业人员意识到并确实经历了诊断测试结果的延迟和错误(少数报告)，影响了我们环境中的外科服务。强调了他们的经验和挑战，并提出了建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgical Research 医学-外科

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''European Surgical Research'' features original clinical and experimental papers, condensed reviews of new knowledge relevant to surgical research, and short technical notes serving the information needs of investigators in various fields of operative medicine. Coverage includes surgery, surgical pathophysiology, drug usage, and new surgical techniques. Special consideration is given to information on the use of animal models, physiological and biological methods as well as biophysical measuring and recording systems. The journal is of particular value for workers interested in pathophysiologic concepts, new techniques and in how these can be introduced into clinical work or applied when critical decisions are made concerning the use of new procedures or drugs.