Le May S, Hardy J F, Harel F, Taillefer M C, Dupuis G
Faculty of Nursing, Department Of Anesthesiology University of Montreal, Montreal, Quebec, Canada.
Can J Anaesth. 2001 Dec;48(11):1127-42. doi: 10.1007/BF03020381.
To develop an instrument to measure patients' perceptions of the services provided by anesthesiologists, an important indicator of quality for which little information is available.
The scale of patients' perceptions of cardiac anesthesia services (SOPPCAS) is composed of 17 Likert-type and sociodemographic questions. Data collection was conducted on T-1 (fourth postoperative day) and T-2 (15 days postoperatively). In addition, we employed the Marlow-Crowne scale and a short form of the Psychological Symptoms Index to verify the influence of social desirability and psychological distress respectively. Data analysis included a principal component analysis (PCA).
One hundred seventy patients answered the questionnaires at T-1 and 133 patients at T-2. Cronbach alpha of the SOPPCAS was 0.58. PCA revealed four perioperative factors: patient/anesthesiologist interactions, preoccupations related to anesthesia, experience with anesthesia and pain management. Global mean satisfaction was 4.45 +/- 0.64 (maximum score 6.0). Main items related to satisfaction were: satisfaction with premedication, empathy from anesthesiologists, pain management. Main items related to dissatisfaction were: lack of information on blood transfusion and recall of endotracheal intubation. A score of 14/20 was obtained for social desirability. Social desirability did not influence the construct of the SOPPCAS.
We developed, using rigorous methods, an instrument to measure patients' perceptions of the quality of cardiac anesthesia services. Global mean satisfaction with anesthesia services was moderately high contrary to previous studies where it was high. Finally, the SOPPCAS should allow anesthesiologists to improve the quality of the care they provide.
开发一种工具来衡量患者对麻醉医生所提供服务的看法，这是一个重要的质量指标，但相关信息较少。
患者对心脏麻醉服务的看法量表（SOPPCAS）由17个李克特式问题和社会人口统计学问题组成。在T-1（术后第四天）和T-2（术后15天）进行数据收集。此外，我们使用了马洛-克劳恩量表和心理症状指数简表分别验证社会期望和心理困扰的影响。数据分析包括主成分分析（PCA）。
170名患者在T-1时回答了问卷问题，133名患者在T-2时回答了问卷问题。SOPPCAS的克朗巴哈系数为0.58。主成分分析揭示了四个围手术期因素：患者/麻醉医生互动、与麻醉相关的担忧、麻醉体验和疼痛管理。总体平均满意度为4.45±0.64（满分6.0）。与满意度相关的主要项目有：对术前用药的满意度、麻醉医生的同理心、疼痛管理。与不满意相关的主要项目有：输血信息不足和气管插管回忆。社会期望得分为14/20。社会期望并未影响SOPPCAS的结构。
我们采用严谨的方法开发了一种工具来衡量患者对心脏麻醉服务质量的看法。与之前满意度较高的研究相反，对麻醉服务的总体平均满意度处于中等偏高水平。最后，SOPPCAS应能使麻醉医生提高他们所提供护理的质量。
