||The purpose of this study was to assess quality of operative care from the patient perspective.
Material and methods: The research was conducted in public company Vilkavishkis hospital on the 15 of November in 2014 – 31 of May in 2015. Anonymous survey was conducted with standardized questionaire of T. Leinonen and H. Leino-Kilpi (Good Perioperative Nursing Care Scale 1998; 2002). The same 281 patients were examined in early and long distance postoperative period (the responce rate: in early period – 88 per/ long distance period – 56 per). Statistical analysis conducted with SPSS/w21.0 (Statistical Package for Social Sciences) and „Excel“ 2016 program.
Results: In early postoperative period patients best evaluaated pain control (mean rate – 4,62), the encouragement was evaluated as the worst (mean rate – 3,71). In a long distance period respondents evaluated the ethics proposition group in highiest scores (mean rate – 4,47), and in the lawest scores – patient encouragement (mean rate – 3,26). In early postoperative period men and spouses ant partners were most satisfied with the staff technical skills (p=0,025; p=0,025). In a long distance period women were more satisfied with the operation quality, spiritual support and support in operation department (p=0,025). Information and safe environment the most satisfied 30 – 49 year old patients (p=0,019; p=0,018), the patients with highier and college education better evaluated politeness of personal (p=0,006; p=0,019). The qualitative research showed that quality of operative care is related with effective paind and fear control, good atmosphere and successful outcome of the operation, security and opportinuty to monitor the operation. In early postoperative period all groups of prepositions were evaluated better than in a long distance period.
Conclusions: Patients clearly identified the factors significant for their psychological feeling and attitude towards operative care services. The patient perspective to the quality of operative care in early and long distance postoperative period has changed. The assesment of quality of operative care becomes worse assessing pain control, maintenance of optimal body temperature, technical skills of staff, patient information, encouragement, ethics, environment, staff performance, nursing process progress.