COMPARISON OF PERIOPERATIVE QUESTIONNAIRE AND FACE TO FACE SURVEY FOR PATIENT SATISFACTION WITH ANAESTHESIA
Main Article Content
Keywords
Surgical procedure, patient satisfaction, anaesthesia services, Anesthesia
Abstract
Background: Patient satisfaction in anaesthesia is shaped by various factors, including institutional resources, the rapport between anaesthesiologists and patients, healthcare professionals' competencies and individual patient needs. Traditional face-to-face surveys have proven effective in enhancing response rates and improving data quality yet measuring satisfaction remains complex due to subjective influences such culture differences and personal preferences.
Aims and Objectives: This study aims to assess patient satisfaction with anaesthesia services among individuals undergoing upper and lower abdominal surgeries at SMHS Hospital Srinagar. Methods: A cross-sectional study was conducted from 2022 to 2024 involving 2500 patients schedule for surgical procedure under general anesthesia or regional anesthesia in the Department of Anesthesiology and Critical Care. Postoperative satisfaction was evaluated through face-to-face interviews conducted by an anaesthesiology resident using a two-item satisfaction scale (satisfied and unsatisfied). Data analysis was performed using SPSS version 22.0, R version 3.2.2, and Microsoft Word and Excel for graphical representation.
Results: Among the participants, 51.80% of females (1295) reported satisfaction compared to 40.50% of males (1013). Notably, 61.30% of rural patients expressed satisfaction versus31.00% from urban areas. Satisfaction was predominantly observed in participants aged 30-49 years, with the average age being 40-49 years.
Conclusion: The findings indicate that patient satisfaction with anaesthesia services is significantly influenced by gender, geographic location and age. Continuous efforts to enhance patient-centered care in anaesthesia are essential to improve satisfaction levels, particularly in urban settings. Further research is warranted to explore the underlying factors contributing to these satisfaction disparities.
References
2. Ahmad I, Gohar E, Iqbal Noor MB, Rehman N, Tayyeb M. Patient satisfaction with anesthesia care services and associated factors in AHQ Hospital Bajaur Agency, KP, Pakistan. PAB. 2021;11(2):592-99.
3. Alshehri AA, Alomar YM, Mohammed GA, Al-Fozan MS, Al-Harbi MS, Alrobai KA & Zahoor H (2015). A survey on postanesthetic patient satisfaction in a university hospital. Saudi J. Anaesth 9(3): 303–305.
4. Singh DA & Sood J (2007). Influence of multi-level anaesthesia care and patient profile on perioperative patient satisfaction in short-stay surgical inpatients: A preliminary study. IJANBN 51(2): 106.
5. Bauer M, Bohrer H, Aichele G, Bach A & Martin E (2001). Measuring patient satisfaction with anaesthesia: perioperative questionnaire versus standardised face-to-face interview. Acta Anaesthesiol. Scand 45(1): 65–72.
6. Suresh P, Mukherjee A. Patient satisfaction with regional anaesthesia and general anaesthesia in upper limb surgeries: An open label, cross-sectional, prospective, observational clinical comparative study. Indian J Anaesth. 2021;65 (3):191-96.
7. Orkin FK, Cohen MM, Duncan PG. The quest for meaningful outcomes. Anesthesiology. 1993;78(3):417-22.
8. Bajwa SJS, Mehdiratta L. Adopting newer strategies of perioperative quality improvement: The bandwagon moves on. Indian J Anaesth. 2021;65 (9):639-43.
9. Andemeskel YM, Elsholz T, Gebreyohannes G, Tesfamariam EH. Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: A cross sectional study in Eritrea. BMC Health Serv Res. 2019;19(1):669.
10. Fleisher LA, Mantha S, Roizen MF. Medical technology assessment: an overview. Anesth Analg. 1998;87(6):1271–1282
11. Pascoe GC. Patient satisfaction in primary health care: Aliterature review and analysis. Eval Program Plann 1983;6:185-210.
12. Aharony, L., & Strasser, S. (1993). Patient satisfaction: what we know about and what we still need to explore. Medical care review, 50(1), 49-79.
13. Heidegger, T., Husemann, Y., Nuebling, M., Morf, D., Sieber, T., Huth, A., ... & Kreienbühl, G. (2002). Patient satisfaction with anaesthesia care: development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria. British journal of anaesthesia, 89(6), 863-872.
14. Caljouw M A A, Van Beuzekom M, & Boer F (2008). Patient’s satisfaction with perioperative care: Development, validation, and application of a questionnaire. Br J Anaesth100(5): 637– 644.
15. Flierler, W. J., Nübling, M., Kasper, J., & Heidegger, T. (2013). Implementation of shared decision making in anaesthesia and its influence on patient satisfaction. Anaesthesia, 68(7), 713-722.
16. Strull, W.M. (1984). The stress of residency: a review of the literature. Archives of internal medicine, 148(6), 1428-1435.
17. Spies, C. D., Schulz, C. M., Weiß‐Gerlach, E., Neuner, B., Neumann, T., Von Dossow, V., ... & Elwyn, G. (2006). Preferences for shared decision making in chronic pain patients compared with patients during a premedication visit. Acta Anaesthesiologica Scandinavica, 50(8), 1019-1026.
18. Kaldenberg, D. O. (1999). Treatment time and perceptions of care among emergency department patients. In 16th Annual Meeting of the Association of Health Service Research Chicago, June (pp. 27-29).
19. Alnashri, Y. M., Alfaqih, O. Y., Buhaliyqh, M. A., Mossery, R. A., Alamri, I. R., Mahfouz, N. A., ... & Ewis, A. (2023). Patient Satisfaction and Its Predictors With Perioperative Anesthesia Care at Two General Hospitals in Southwestern Saudi Arabia. Cureus, 15(1).
20. Endale Simegn, A., Yaregal Melesse, D., Belay Bizuneh, Y., & Mekonnen Alemu, W. (2021). Patient satisfaction survey on perioperative anesthesia service in University of Gondar comprehensive specialized hospital, Northwest Ethiopia, 2021. Anesthesiology research and practice, 2021(1), 3379850.
21. Songthamwat, B., Laosuwan, P., Kanson, W., Ussawanopkiat, M., Engsusophon, P., & Charuluxananan, S. (2017). Factors related to patient satisfaction on postoperative epidural analgesia. J Med Assoc Thai, 100(12), 1290-5.
22. Myles PS, Williams DL, Hendrata M, Anderson H, & Weeks AM (2000) Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10 811 patients. Br J Anaesth 84(1): 6–10.
23. Alsaif A, Alqahtani S, Alanazi F, Alrashed F, Almutairi A: Patient satisfaction and experience with anesthesia: a multicenter survey in Saudi population. Saudi J Anaesth. 2018, 12:304-10. 10.4103/sja.SJA_656_17
24. Novakovic, S. S., Cuk, S., Svraka, D., & Milosevic, D. (2023). Patient satisfaction with general anesthesia compared to spinal anesthesia for cesarean section: a multicenter observational study. Cureus, 15(7).
25. Jenkins K, Grady D, Wong J, Correa R, Armanious S, Chung F, et al. Post-operative recovery: Day surgery patients’ preferences. Br J Anaesth 2001;86:272-4.
26. Apfel, C. C., Philip, B. K., Cakmakkaya, O. S., Shilling, A., Shi, Y. Y., Leslie, J. B., ... & Kovac, A. (2012). Who is at risk for postdischarge nausea and vomiting after ambulatory surgery?. The Journal of the American Society of Anesthesiologists, 117(3), 475-486.
27. Buli, B., Diriba, T., & Tesfaye, B. (2022). Magnitude of position-related soft tissue injuries and associated factors among elective adult surgical patients at Tikur anbessa specialized hospital, Addis ababa, Ethiopia. Annals of Medicine and Surgery, 82.
28. Eshete, M. T., Baeumler, P. I., Siebeck, M., Tesfaye, M., Haileamlak, A., Michael, G. G., ... & Irnich, D. (2019). Quality of postoperative pain management in Ethiopia: a prospective longitudinal study. PloS one, 14(5), e0215563.
29. Abebe, K., Negasa, T., & Argaw, F. (2020). Surgical admissions and treatment outcomes at a tertiary hospital intensive care unit in Ethiopia: a two-year review. Ethiopian Journal of Health Sciences, 30(5).
30. Belay Bizuneh, Y., Fitiwi Lema, G., Yilkal Fentie, D., Woldegerima Berhe, Y., & Enyew Ashagrie, H. (2020). 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, 2020(1), 8834807.
31. Alshehri AA, Alomar YM, Mohammed GA, Al-Fozan MS, Al-Harbi MS, Alrobai KA & Zahoor H (2015). A survey on postanesthetic patient satisfaction in a university hospital. Saudi J. Anaesth9(3): 303–305.
32. Tong D, Chung F, Wong D. Predictive factors in global and anesthesia satisfaction in ambulatory surgical patients. Anesthesiology 1997;87:856-64.
33. Fitzpatrick R. Surveys of patient satisfaction: II – Designing a questionnaire and conducting a survey. BMJ 1991;302:1129-32.
34. Ward SE, Gordon D. Application of the American Pain Society quality assurance standards. Pain 1994;56:299-306.
35. Ambulkar, R., Patel, A., Patil, S., & Savarkar, S. (2022). Patient satisfaction with anaesthesia services in a tertiary care cancer centre. Journal of Anaesthesiology Clinical Pharmacology, 38(1), 111-117.
36. Woods SE, Heidari Z. The influence of gender on patient satisfaction. J Gend Specif Med 2003;6:30-5.
37. Conner, J. M., & Nelson, E. C. (1999). Neonatal intensive care: satisfaction measured from a parent's perspective. Pediatrics, 103, 336-349.
38. Auquier P, Pernoud N, Bruder N, et al.: Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005, 102:1116-23. 10.1097/00000542-200506000-00010
39. Barry, M. J., & Edgman-Levitan, S. (2012). Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780-781.
40. Stiggelbout AM,Wong, D. T., & Wong, J. (2012). Patient satisfaction and positive patient outcomes in ambulatory anesthesia. Ambulatory Anesthesia, 29-37.
41. Harms, C., Young, J. R., Amsler, F., Zettler, C., Scheidegger, D., & Kindler, C. H. (2004). Improving anaesthetists' communication skills. Anaesthesia, 59(2), 166-172.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Suhail Ahmad Dar
Postgraduate Scholar, Department of Anaesthesiology & Critical Care Medicine, Government Medical College, Srinagar, India.
Dr. Saba Ahad
Assistant Professor, Department of Anaesthesiology & Critical Care Medicine, Government Medical College, Srinagar, India.
Dr. Farhana Bashir
Assistant Professor; Anaesthesiology & Critical Care Medicine, Government Medical College, Srinagar, India.
Dr Syed Nazima
Assistant Professor, Department of Anaesthesiology & Critical Care Medicine, Government Medical College, Srinagar, India.
Dr Mohammad Ommid
Professor, Department of Anaesthesiology & Critical Care Medicine, Government Medical College, Srinagar