The Effect of Perioperative Service Program by Lean Concept and Mobile Application on Satisfaction of Cataract Surgery Patients at the Ophthalmology Clinic, Phramongkutklao Hospital

Abstract

 This quasi-experimental study aims to evaluate the effect of a perioperative service program using lean principles combined with a mobile application. Furthermore, the study compares the satisfaction level between patients who received perioperative service program based on lean principles combined with a mobile application and those who received routine cataract surgery services at the Ophthalmology Clinic of Phramongkutklao Hospital. A total of 40 patients diagnosed with cataracts were selected and separated into 2 groups: an experimental group or a control group, with 20 participants in each. The research instruments consisted of 1) The perioperative service program based on lean principles combined with a mobile application 2) A nursing service satisfaction assessment form. The validity was 0.86 and reliability was 0.98. The study results found that 1) The general information of both sample groups was similar, The majority were female (55%), over 60 years old (95%; average 74 years old), and had a bachelor’s degree education level (35%) and 2) The satisfaction of patients who received perioperative service program based on lean principles combined with a mobile application had significantly higher satisfaction levels compared to those who received routine cataract surgery services. (p<.05). The findings support improving nursing services and care quality for cataract surgery patients. It is recommended that nursing administrators apply the Lean concept with a mobile application to other outpatient clinics, with ongoing patient monitoring and participation from nurses and multidisciplinary teams to ensure effective and sustainable services