Thierbach A, Fichtner K, Kugler A, Dick W
Klinik für Anästhesiologie, Johannes Gutenberg-Universität, Mainz.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2003 Feb;38(2):85-93. doi: 10.1055/s-2003-36991.
The evaluation of services by patients is an integral part of continuous quality improvement in anaesthesia. Patient satisfaction is affected by various objective and subjective variables. Individual experiences, impressions and needs represent an important part of overall patient satisfaction.
Data of 519 patients were collected in a standardised anonymous questionnaire independent of the post-anaesthetic visit.
Anaesthesia staff appeared to be friendly to 97 % of patients asked, 95 % of patients wanted to be treated by the same staff in case of another anaesthesia, nearly 87 % felt relaxed and satisfied after anaesthesia. Up to 26 % of patients felt tense after pre-anaesthetic visit and 38 % before anaesthesia, 35 % felt that waiting before operation was endless and 20 % complained about loss of humaneness because of technical equipment and monitoring. Significant differences could be found between specific groups of patients: Older and male patients were in all more satisfied compared to younger and female patients, patients after regional anaesthesia were more satisfied compared to ones after general anaesthesia.
The inquiry of subjective patient impressions can be performed in anaesthesia departments without much effort. The results help to identify and avoid psycho-vegetative stressing situations and to improve patient satisfaction with anaesthesia.
患者对服务的评价是麻醉持续质量改进的一个组成部分。患者满意度受各种客观和主观变量的影响。个人经历、印象和需求是患者总体满意度的重要组成部分。
通过一份独立于麻醉后访视的标准化匿名问卷收集了519名患者的数据。
在接受询问的患者中,97%觉得麻醉工作人员很友好;95%的患者表示若再次接受麻醉希望由同一批工作人员进行治疗;近87%的患者在麻醉后感到放松和满意。高达26%的患者在麻醉前访视后感到紧张,38%的患者在麻醉前感到紧张,35%的患者觉得手术前的等待没完没了,20%的患者抱怨因技术设备和监测而缺乏人情味。特定患者群体之间存在显著差异:老年患者和男性患者总体上比年轻患者和女性患者更满意,接受区域麻醉的患者比接受全身麻醉的患者更满意。
在麻醉科室询问患者的主观印象并不费力。这些结果有助于识别和避免心理-植物神经应激情况,并提高患者对麻醉的满意度。