Hawkins Robert J, Swanson Barbara, Kremer Michael J
Nurse Anesthesia Program, Graduate School of Nursing, Uniformed Services University, Bethesda, MD, USA.
AORN J. 2012 Oct;96(4):368-76. doi: 10.1016/j.aorn.2012.07.015.
Surgery is typically performed using one or more types of anesthesia. An important patient outcome related to the anesthetic, and a measure of quality from the patient's perspective, is patient satisfaction with anesthesia care. Currently, no psychometrically validated instruments that measure patient satisfaction with general anesthesia care are available in the United States. This integrative review focuses on identifying factors related to adult patients' satisfaction with general anesthesia care. We found the most frequently mentioned modifiable factors related to patient satisfaction were information provided and pain or discomfort. The only nonmodifiable factor with sufficient evidence to include in future studies on instrument development is the patient's age. This review provides information that can help in the design and implementation of quality improvement initiatives and in the development of an instrument to measure patient satisfaction with general anesthesia care.
手术通常使用一种或多种麻醉方式进行。与麻醉相关的一项重要患者结局，以及从患者角度衡量质量的一个指标，是患者对麻醉护理的满意度。目前，美国尚无经过心理测量学验证的用于衡量患者对全身麻醉护理满意度的工具。本整合性综述着重于识别与成年患者对全身麻醉护理满意度相关的因素。我们发现，与患者满意度相关的最常被提及的可改变因素是所提供的信息以及疼痛或不适。有充分证据可纳入未来工具开发研究的唯一不可改变因素是患者的年龄。本综述提供的信息有助于质量改进举措的设计与实施，以及开发一种用于衡量患者对全身麻醉护理满意度的工具。
