Determination of the discharge education needs of patients with day hand surgery operation in Turkey

Abstract

Aim

The research was conducted to identify the discharge education needs of patients undergoing day surgery for hand surgery.

Method

This descriptive and cross-sectional study included patients who underwent day surgery for hand conditions, both emergency and elective, over the course of a year at public hospitals under the Istanbul Provincial Health Directorate, specifically in the Department of Hand Surgery on the European side of Istanbul. The total patient count was 1195. The study sample consisted of 100 patients, determined using the G Power analysis method with an effect size of 2.25, a significance level (α) of 0.05, and a power of 90 %. Data were collected using a "Patient Identification Form" and "The Patient Learning Needs Scale," both developed by the researcher.

Results

The average age of the patients participating in the study was 41.59 ± 15.53, with the majority being male (55.39 %), married (62.31 %), unemployed (53.85 %), and without chronic diseases (75.38 %). The average score of the "Patient Learning Needs Scale" for day surgery hand patients was 156.461 ± 12.133, with the highest average scores in the sub-dimensions "Treatment and Complications" being 32.62 ± 3.75. A significant relationship was found between age and the "Treatment and Complications" sub-dimension of the PLNS, with a correlation of 0.103 (r = 0.103; p < 0.05). It was determined that male patients had greater learning needs regarding skin care (p < 0.05), and statistically significant differences were found among the educational levels in the sub-dimensions of "Activities of Daily Living" "Community and Follow-up," and "Skin Care" of the PLNS (p < 0.05). The educational needs of employed patients were higher in all sub-dimensions except "Treatment and Complications" and the total score of the scale, with a statistically significant difference found in the "Situation-Related Emotions" sub-dimension. Patients who applied to the emergency department had a higher average total score on the PLNS.

Conclusion

It has been determined that patients undergoing day surgery for hand surgery have educational needs regarding treatment and complications, medications, skin care, quality of life, and home care during the discharge process. It is recommended that discharge education programs be increased to consider the needs of the patients.