Myles P S, Williams D L, Hendrata M, Anderson H, Weeks A M
Department of Anaesthesia and Pain Management, Alfred Hospital, Melbourne, Victoria, Australia.
Br J Anaesth. 2000 Jan;84(1):6-10. doi: 10.1093/oxfordjournals.bja.a013383.
Patient satisfaction after anaesthesia is an important outcome of hospital care. We analysed our anaesthetic database to identify potentially modifiable factors associated with dissatisfaction. At the time of analysis, our database contained information on 10,811 in-patients interviewed on the first day after operation. The major subjective outcome measure was patient satisfaction. We also measured other predetermined outcomes, such as nausea, vomiting, pain and complications. The overall level of satisfaction was high (96.8%); 246 (2.3%) patients were 'somewhat dissatisfied' and 97 (0.9%) were 'dissatisfied' with their anaesthetic care. After adjustment for patient and surgical factors, there was a strong relation between patient dissatisfaction and: (i) intraoperative awareness (odds ratio (OR) 54.9, 95% confidence intervals (CI) 15.7-191); (ii) moderate or severe postoperative pain (OR 3.94, 95% CI 3.16-4.91); (iii) severe nausea and vomiting (OR 4.09, 95% CI 3.18-5.25); and (iv) any other postoperative complications (OR 2.04, 95% CI 1.61-2.56). Several factors associated with dissatisfaction may be preventable or better treated.
麻醉后患者满意度是医院护理的一项重要指标。我们分析了麻醉数据库，以确定与不满相关的潜在可改变因素。在分析时，我们的数据库包含了10811名术后第一天接受访谈的住院患者的信息。主要主观指标是患者满意度。我们还测量了其他预先确定的指标，如恶心、呕吐、疼痛和并发症。总体满意度较高（96.8%）；246名（2.3%）患者对麻醉护理“有些不满”，97名（0.9%）患者“不满”。在对患者和手术因素进行调整后，患者不满与以下因素之间存在密切关系：（i）术中知晓（比值比（OR）54.9，95%置信区间（CI）15.7 - 191）；（ii）中度或重度术后疼痛（OR 3.94，95% CI 3.16 - 4.91）；（iii）严重恶心和呕吐（OR 4.09，95% CI 3.18 - 5.25）；以及（iv）任何其他术后并发症（OR 2.04，95% CI 1.61 - 2.56）。一些与不满相关的因素可能是可以预防的或可以得到更好的治疗。
