[Patient monitoring strategy in a hand surgery university center labeled FESUM-Integration of postgraduate students: A prospective study].

IF 0.4 4区 医学 Q4 SURGERY
F Delas, S Tomczak, C M Garcia-Doldan, D Coquerel-Beghin, R Beccari, O Dhellemmes, I Auquit-Auckbur
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引用次数: 0

Abstract

Introduction: Federation of Hand Emergency Services (FESUM) is a European network of hand emergency centers (called SOS hand centers) in France, Belgium and Luxembourg. The FESUM network includes 64 SOS Hand centers in France. In our university hospital, the FESUM-certified SOS hand has been part of the plastic surgery department since 2001. It has included, since 2016, postgraduate students ("residents") training in hand surgery who participate independently in the patient follow-up. The objective of this study was to analyze the characteristics of this population of patients with hand injuries and their satisfaction with this mode of follow-up. The secondary objective was to study the characteristics of the patient population treated by our center.

Material and method: We conducted a study on the follow-up of patients undergoing emergency hand surgery, prospective, single-center, declarative, anonymized, between May and October 2021 at the SOS main center of our university hospital at the "SOS Main" intern consultation. The demographic data, the main characteristics of the pathology, the elements of initial care and follow-up of the patients as well as their satisfaction were analyzed, as well as the satisfaction of the interns.

Results: We included 323 patients. The population of patients treated generally corresponded to a young man, manual worker, who was initially treated in an outpatient department or in an SOS Hand consultation. The lesions most often represented were fractures (24%), tendon wounds (18%) and wounds without damage to noble tissues (16%). Follow-up consultations took place mainly 15days after the emergency intervention, lasted on average 10minutes and did not present excessive delays. Patient (91.2%) and post-graduate student (87.2%) satisfaction was high. However, postoperative physiotherapy follow-up was insufficient, as was self-rehabilitation.

Conclusion: The integration of post-graduate student in a university plastic surgery department into the care of SOS Hand patients seems beneficial for all those involved, and for their training. The characteristics of the follow-up consultations by the intern in autonomous supervision corresponded to the high quality standards of the FESUM. The patients showed a high satisfaction rate. Better valorization of this consultation in "office surgery" should be considered.

[手外科大学中心的患者监测策略:FESUM--研究生的参与:前瞻性研究]。
简介手部急救服务联合会 (FESUM) 是欧洲的一个手部急救中心网络(称为 SOS 手部中心),分布在法国、比利时和卢森堡。FESUM 网络包括法国的 64 家 SOS 手部中心。在我们的大学医院,经 FESUM 认证的 SOS 手部自 2001 年以来一直是整形外科的一部分。自2016年起,手外科专业的研究生("住院医师")也加入其中,独立参与患者的随访工作。本研究的目的是分析手部受伤患者的特征以及他们对这种随访模式的满意度。次要目的是研究本中心治疗的患者群体的特点:我们对 2021 年 5 月至 10 月期间在我校医院 SOS 主中心 "SOS Main "实习咨询处接受手部急诊手术的患者进行了一项前瞻性、单中心、申报式、匿名随访研究。我们分析了患者的人口统计学数据、主要病理特征、初始护理和随访要素及其满意度,以及实习生的满意度:我们共收治了 323 名患者。接受治疗的患者一般都是体力劳动者,最初在门诊部或 SOS 手部咨询处接受治疗。最常见的病变是骨折(24%)、肌腱伤口(18%)和无贵重组织损伤的伤口(16%)。复诊主要在急诊后 15 天进行,平均持续时间为 10 分钟,没有出现过度延误的情况。患者(91.2%)和研究生(87.2%)的满意度很高。然而,术后物理治疗跟进不足,自我康复也不够:一所大学整形外科系的研究生参与到 SOS 手部患者的护理工作中,似乎对所有相关人员及其培训都有好处。实习生在自主监督下进行的随访咨询的特点符合 FESUM 的高质量标准。患者的满意度很高。应考虑在 "办公室手术 "中更好地利用这种咨询。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
86
审稿时长
44 days
期刊介绍: Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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