Assessing Patient Satisfaction with Perioperative Anesthesia Services
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Abstract
Patient satisfaction is a critical indicator of healthcare quality, particularly in perioperative anesthesia services. This study aimed to evaluate patient satisfaction and associated factors regarding perioperative anesthesia services
Methods: A cross-sectional institutional-based study was conducted. Data were collected and analyzed using Epi-data version 3.1 and STATA version 14.1, respectively. The strength of associations was assessed using adjusted odds ratios with a 95% confidence interval, considering p < 0.05 as statistically significant.
Results: The study included 398 patients with a response rate of 98%. Overall, 74% of patients (95% CI: 69–78) reported satisfaction with perioperative anesthesia services. Patients receiving regional anesthesia were 2.8 times more satisfied than those receiving general anesthesia (AOR = 2.8, 95% CI: 1.42–5.36). Adequate information provision was associated with 3.14 times higher satisfaction (AOR = 3.14, 95% CI: 1.71–5.74). Patients not experiencing pain during anesthesia induction were 2.7 times more satisfied (AOR = 2.7, 95% CI: 1.43–5.08) than those who did.
Conclusion and Recommendations: The study found a 74% satisfaction rate with perioperative anesthesia services. Factors such as receiving regional anesthesia, adequate information provision, post-operative visits by anesthetists, absence of nausea/vomiting and pain during and after anesthesia were associated with higher satisfaction levels. Anesthetists are recommended to focus on reducing factors that negatively impact patient satisfaction during surgical procedures.
References
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22. K. M. Benwu and H. G. Gebremedhin, "A prospective study on elective surgical inpatient satisfaction with perioperative anaesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia," BMC Anesthesiology, vol. 19, no. 1, pp. 46–49, 2019.
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25. S. D. Bayable, S. A. Ahmed, G. F. Lema, and D. Yaregal Melesse, “Assessment of maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia at university of gondar comprehensive specialized hospital, northwest Ethiopia, 2019,” Anesthesiology Research and Practice, vol. 2020, 8 pages, Article ID 8697651, 2020.
26. Y. Belay Bizuneh, G. Fitiwi Lema, D. Yilkal Fentie, Y. Woldegerima Berhe, and H. Enyew Ashagrie, “Assessment of patient’s satisfaction and associated factors regarding postoperative pain management at the university of gondar compressive specialized hospital, northwest Ethiopia,” Pain Research and Management, vol. 2020, 7 pages, Article ID 8834807, 2020.
27. T. Ahmed, N. Assefa, A. Demisie, and A Kenay, “Levels of adult patients’ satisfaction with nursing care in selected public hospitals in Ethiopia,” International Journal of Health Sciences, vol. 8, no. 4, Article ID 371, 2014.
28. T. G. Argago, K. W. Hajito, and S. B. Kitila, “Clients satisfaction with family planning services and associated factors among family planning users in Hossana town public health facilities, South Ethiopia: facility-based cross-sectional study,” International Journal of Nursing and Midwifery, vol. 7, no. 5, pp. 74–83, 2015.
29. S. B. Kitila and F. Yadassa, “Client satisfaction with abortion service and associated factors among clients visiting health facilities in Jimma town, Jimma, south west, Ethiopia,” Quality in Primary Care, vol. 24, no. 2, pp. 67–76, 2016.
30. M. Akhtari-Zavare, M. Y. Abdullah, S. T. S. Hassan, S. B. Said, and M. Kamali, “Patient satisfaction: evaluating nursing care for patients hospitalized with cancer in Tehran teaching hospitals, Iran,” Global Journal of Health Science, vol. 2, no. 1, Article ID 117, 2010.
31. T. Mindaye and B. Taye, “Patients satisfaction with laboratory services at antiretroviral therapy clinics in public hospitals, Addis Ababa, Ethiopia,” BMC Research Notes, vol. 5, no. 1, pp. 184–187, 2012.
32. R. R. Garaniya, P. Mehta, K. Shiyal, and K. Mehta, “Patient satisfaction with anaesthesia services at the tertiary care hospital, a cross-sectional study patient satisfaction and anesthesia services,” pp. 139–146, 2013.
33. P. Kouki, P. Matsota, K. Christodoulaki et al., “Greek surgical patients’ satisfaction related to perioperative anesthetic services in an academic institute,” Patient Preference and Adherence, vol. 6, Article ID 569, 2012.
34. F. Onyekwulu and A. Nwosu, “Measuring patient satisfaction with anaesthesia care in Enugu: a preliminary study,” International Journal of Medicine and Health Development, vol. 14, no. 2, 2009.
35. T. Ruzman, N. Ruzman, G. Kristek, I. Harsanji-Drenjancevic, D. Gulam, and S. Kvolik, “Patient satisfaction with regional anesthesia in orthopedic surgery,” Periodicum Biologorum, vol. 117, no. 2, pp. 297–301, 2015.
36. R. N. Jamison, M. J. Ross, P. Hoopman et al., “Assessment of postoperative pain management: patient satisfaction and perceived helpfulness,” The Clinical Journal of Pain, vol. 13, no. 3, pp. 229–236, 1997.
37. M. Schwenkglenks, H. J. Gerbershagen, R. S. Taylor et al., “Correlates of satisfaction with pain treatment in the acute postoperative period: results from the international pain out registry,” Pain, vol. 155, no. 7, pp. 1401–1411, 2014.
38. Y. B. Belay, G. F. Lema, D. Y. Fentie, Y. W. Berhe, and H. E. Ashagrie, “Assessment of patient satisfaction and associated factors in postoperative pain management at university of gondar compressive specialized hospital, northwest Ethiopia, A cross sectional study,” Preprint, 2020.
2. P. Auquier, N. Pernoud, N. Bruder et al., "Development and validation of a perioperative satisfaction questionnaire," Anesthesiology, vol. 102, no. 6, pp. 1116–1123, 2005.
3. E. Batbaatar, J. Dorjdagva, A. Luvsannyam, M. M. Savino, and P. Amenta, "Determinants of patient satisfaction: a systematic review," Perspectives in Public Health, vol. 137, no. 2, pp. 89–101, 2017.
4. T. Heidegger, D. Saal, and M. Nuebling, "Patient satisfaction with anaesthesia care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction?" Best Practice & Research Clinical Anaesthesiology, vol. 20, no. 2, pp. 331–346, 2006.
5. F. E. Gempeler and M. V. Avellaneda S, "Evaluacion de la satisfaccion y tiempo en recuperacion con diferentes tecnicas anestesicas en el Hospital Universitario de San Ignacio," Revista Colombiana de Anestesiologia, vol. 38, no. 2, pp. 178–202, 2010.
6. A. Reynolds, "Patient-centered care," Radiologic Technology, vol. 81, no. 2, pp. 133–147, 2009.
7. Y. M. Andemeskel, T. Elsholz, G. Gebreyohannes, and E. H. Tesfamariam, "Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: a cross sectional study in Eritrea," BMC Health Services Research, vol. 19, no. 1, pp. 669–678, 2019.
8. M. A. A. Caljouw, M. Van Beuzekom, and F. Boer, "Patient’s satisfaction with perioperative care: development, validation, and application of a questionnaire," British Journal of Anesthesia, vol. 100, no. 5, pp. 637–644, 2008.
9. M. Capuzzo and R. Alvisi, "Is it possible to measure and improve patient satisfaction with anesthesia?" Anesthesiology Clinics, vol. 26, no. 4, pp. 613–626, 2008.
10. W. J. Rhee, C. J. Chung, Y. H. Lim, K. H. Lee, and S. C. Lee, "Factors in patient dissatisfaction and refusal regarding spinal anesthesia," Korean Journal of Anesthesiology, vol. 59, no. 4, Article ID 260, 2010.
11. P. S. Myles, D. L. Williams, M. Hendrata, H. Anderson, and A. M. Weeks, "Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10,811 patients," British Journal of Anesthesia, vol. 84, no. 1, pp. 6–10, 2000.
12. C. F. Royse, F. Chung, S. Newman, J. Stygall, and D. J. Wilkinson, "Predictors of patient satisfaction with anesthesia and surgery care," European Journal of Anesthesiology, vol. 30, no. 3, pp. 106–110, 2013.
13. Y. Ting, C. Ho, and C. Lan, "A survey of patient satisfaction with obstetric anaesthesia service in Tuen Mun Hospital, Hong Kong," Sri Lankan Journal of Anaesthesiology, vol. 28, pp. 36–41, 2020.
14. S. Le May, J.-F. Hardy, M.-C. Taillefer, and G. Dupuis, "Patient satisfaction with anesthesia services," Canadian Journal of Anaesthesia, vol. 48, no. 2, Article ID 153, 2001.
15. V. T. Akpinar, L. Van Koroglu, and H. G. Aytuluk, "Evaluation of factors associated with patient satisfaction and mood-state in regional anesthesia," Agri: Agri (Algoloji) Dernegi’nin Yayin organidir - The journal of the Turkish Society of Algology, vol. 31, no. 2, pp. 57–62, 2019.
16. E. G. Gebremedhn, W. B. Chekol, W. D. Amberbir, and T. D. Flatie, "Patient satisfaction with anaesthesia services and associated factors at the University of Gondar Hospital, 2013: a cross-sectional study," BMC Research Notes, vol. 8, no. 1, pp. 377–379, 2015.
17. S. Charuluxananan, P. Sriprajittichai, P. Sirichotvithyakorn, O. Rodanant, and O. Kyokong, "Factors related to patient satisfaction regarding spinal anesthesia," Journal of the Medical Association of Thailand - Chotmaihet thangphaet, vol. 86, pp. S338–S343, 2003.
18. M. Capuzzo, G. Gilli, L. Paparella et al., "Factors predictive of patient satisfaction with anesthesia," Anesthesia & Analgesia, vol. 105, no. 2, pp. 435–442, 2007.
19. M. Capuzzo, F. Landi, A. Bassani, L. Grassi, C. A. Volta, and R. Alvisi, "Emotional and interpersonal factors are most important for patient satisfaction with anaesthesia," Acta Anaesthesiologica Scandinavica, vol. 49, no. 6, pp. 735–742, 2005.
20. D. Saal, T. Heidegger, M. Nuebling, and R. Germann, "Does a postoperative visit increase patient satisfaction with anaesthesia care?" British Journal of Anaesthesia, vol. 107, no. 5, pp. 703–709, 2011.
21. D. A. Zvara, J. M. Nelson, R. F. Brooker et al., "The importance of the postoperative anesthetic visit: do repeated visits improve patient satisfaction or physician recognition?" Anesthesia & Analgesia, vol. 83, no. 4, pp. 793–797, 1996.
22. K. M. Benwu and H. G. Gebremedhin, "A prospective study on elective surgical inpatient satisfaction with perioperative anaesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia," BMC Anesthesiology, vol. 19, no. 1, pp. 46–49, 2019.
23. G. Siraneh, G. Dendir, and K. Paulos, “Factors associated with patient satisfaction in perioperative anesthesia care at Hawassa university comprehensive specialized hospital, Ethiopia, cross-sectional study design,” International Journal of Surgery Open, vol. 26, pp. 114–118, 2020.
24. M. Lorato, M. Hussen, and M. Tegegne, “Patient satisfaction and associated factors among adult outpatient ophthalmic service users’ at university of gondar comprehensive specialized hospital tertiary eye care and training center, northwest Ethiopia, 2020,” An Institution-Based Cross-Sectional Study, 2020.
25. S. D. Bayable, S. A. Ahmed, G. F. Lema, and D. Yaregal Melesse, “Assessment of maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia at university of gondar comprehensive specialized hospital, northwest Ethiopia, 2019,” Anesthesiology Research and Practice, vol. 2020, 8 pages, Article ID 8697651, 2020.
26. Y. Belay Bizuneh, G. Fitiwi Lema, D. Yilkal Fentie, Y. Woldegerima Berhe, and H. Enyew Ashagrie, “Assessment of patient’s satisfaction and associated factors regarding postoperative pain management at the university of gondar compressive specialized hospital, northwest Ethiopia,” Pain Research and Management, vol. 2020, 7 pages, Article ID 8834807, 2020.
27. T. Ahmed, N. Assefa, A. Demisie, and A Kenay, “Levels of adult patients’ satisfaction with nursing care in selected public hospitals in Ethiopia,” International Journal of Health Sciences, vol. 8, no. 4, Article ID 371, 2014.
28. T. G. Argago, K. W. Hajito, and S. B. Kitila, “Clients satisfaction with family planning services and associated factors among family planning users in Hossana town public health facilities, South Ethiopia: facility-based cross-sectional study,” International Journal of Nursing and Midwifery, vol. 7, no. 5, pp. 74–83, 2015.
29. S. B. Kitila and F. Yadassa, “Client satisfaction with abortion service and associated factors among clients visiting health facilities in Jimma town, Jimma, south west, Ethiopia,” Quality in Primary Care, vol. 24, no. 2, pp. 67–76, 2016.
30. M. Akhtari-Zavare, M. Y. Abdullah, S. T. S. Hassan, S. B. Said, and M. Kamali, “Patient satisfaction: evaluating nursing care for patients hospitalized with cancer in Tehran teaching hospitals, Iran,” Global Journal of Health Science, vol. 2, no. 1, Article ID 117, 2010.
31. T. Mindaye and B. Taye, “Patients satisfaction with laboratory services at antiretroviral therapy clinics in public hospitals, Addis Ababa, Ethiopia,” BMC Research Notes, vol. 5, no. 1, pp. 184–187, 2012.
32. R. R. Garaniya, P. Mehta, K. Shiyal, and K. Mehta, “Patient satisfaction with anaesthesia services at the tertiary care hospital, a cross-sectional study patient satisfaction and anesthesia services,” pp. 139–146, 2013.
33. P. Kouki, P. Matsota, K. Christodoulaki et al., “Greek surgical patients’ satisfaction related to perioperative anesthetic services in an academic institute,” Patient Preference and Adherence, vol. 6, Article ID 569, 2012.
34. F. Onyekwulu and A. Nwosu, “Measuring patient satisfaction with anaesthesia care in Enugu: a preliminary study,” International Journal of Medicine and Health Development, vol. 14, no. 2, 2009.
35. T. Ruzman, N. Ruzman, G. Kristek, I. Harsanji-Drenjancevic, D. Gulam, and S. Kvolik, “Patient satisfaction with regional anesthesia in orthopedic surgery,” Periodicum Biologorum, vol. 117, no. 2, pp. 297–301, 2015.
36. R. N. Jamison, M. J. Ross, P. Hoopman et al., “Assessment of postoperative pain management: patient satisfaction and perceived helpfulness,” The Clinical Journal of Pain, vol. 13, no. 3, pp. 229–236, 1997.
37. M. Schwenkglenks, H. J. Gerbershagen, R. S. Taylor et al., “Correlates of satisfaction with pain treatment in the acute postoperative period: results from the international pain out registry,” Pain, vol. 155, no. 7, pp. 1401–1411, 2014.
38. Y. B. Belay, G. F. Lema, D. Y. Fentie, Y. W. Berhe, and H. E. Ashagrie, “Assessment of patient satisfaction and associated factors in postoperative pain management at university of gondar compressive specialized hospital, northwest Ethiopia, A cross sectional study,” Preprint, 2020.
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Dec 21, 2022
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Khalid Mutlaq Q Alanazi, Abdullah Mutlaq Q Alanazi , Mohammed Nadi Murabid Alanazi, Nael Thunayyan Awad Alruwaili, Abdulaziz Farhan Inad Alanazi, Hamad khalaf alharbi, Saud Mohammed Farhan Alshammari. (2022). Assessing Patient Satisfaction with Perioperative Anesthesia Services. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 474–480. https://doi.org/10.53555/jptcp.v29i03.5412
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