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. 2020 Nov;168(5):770-776.
doi: 10.1016/j.surg.2020.08.010. Epub 2020 Aug 19.

Impact of visitor restriction rules on the postoperative experience of COVID-19 negative patients undergoing surgery

Ryan D Zeh  1 , Heena P Santry  1 , Christina Monsour  1 , Alan A Sumski  1 , John F P Bridges  1 , Allan Tsung  1 , Timothy M Pawlik  1 , Jordan M Cloyd  2
Affiliations

Impact of visitor restriction rules on the postoperative experience of COVID-19 negative patients undergoing surgery

Ryan D Zeh et al. Surgery. 2020 Nov.

Abstract

Background: Many hospitals have implemented visitor restriction policies in response to the coronavirus disease 2019 pandemic. Because caregivers serve an important role in postoperative recovery, the purpose of this study was to evaluate the impact of visitor restrictions on the postoperative experience of coronavirus disease 2019-negative patients undergoing surgery.

Methods: Patients who underwent surgery immediately before or after the implementation of a visitor restriction policy were enrolled. Patients were surveyed on their inpatient experience and preparedness for discharge using items adapted from validated questionnaires.

Results: Among 128 eligible patients, 117 agreed to participate (91.4% response rate): 58 (49.6%) in the Visitor Cohort and 59 (50.4%) in the No-Visitor Cohort. Mean age was 57.5 years (standard deviation 13.9) and 66 (56.4%) were female. Among all patients, 47.8% underwent oncologic surgery, 31.6% transplant, and 20.5% general or other. Patients in the No-Visitor Cohort were less likely to report complete satisfaction with the hospital experience (80.7% vs 66.0%, P = .044), timely receipt of medications (84.5% vs 69.0%, P = .048), and assistance getting out of bed (70.7% vs 51.7%, P = .036). No-Visitor Cohort patients were less likely to feel that their discharge preferences were adequately considered (79.3% vs 54.2%, P = .004). Qualitative analysis of patient responses highlighted the consistent psychosocial support provided by visitors after surgery (84.5%), and patients in the No-Visitor Cohort reported social isolation due to lack of psychosocial support (50.8%).

Conclusion: The implementation of hospital visitor restriction policies may adversely impact the postoperative experience of coronavirus disease 2019-negative patients undergoing surgery. These findings highlight the urgent need for novel patient-centered strategies to improve the postoperative experience of patients during ongoing or future disruptions to routine hospital practice.

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Figures

Fig 1
Fig 1
Impact of visitors on the postoperative experience of patients before (A) and after (B) visitor restriction rules; impact of visitors on discharge process of patients before (C) and after (D) visitor restriction rules.
See this image and copyright information in PMC

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