Dharmalingam T Kumaravadivel, Ahmad Zainuddin Nor Azian
Department of Anaesthesiology and Intensive Care Unit, Hospital Teluk Intan, 36000 Teluk Intan, Perak, Malaysia.
Malays J Med Sci. 2013 May;20(3):51-4.
This study was undertaken to evaluate patient satisfaction after spinal anaesthesia, which is the most frequently administered anaesthesia in obstetric patients.
A cross-sectional study of patients who underwent caesarean section under spinal anaesthesia in the operating rooms of Hospital Teluk Intan was conducted. Post-operative survey of patients on the day after surgery was conducted by collecting pre-operative and intra-operative data on a constructed questionnaire. Post-operative data, including satisfaction and understanding the anaesthetist's explanation regarding anaesthesia, satisfaction in receiving spinal anaesthesia and adverse effects, and willingness to accept or refuse spinal anaesthesia for a similar surgery again, were inquired by trained anaesthesia personnel.
A total of 200 pregnant patients, with age ranging from 17 to 45 years, were surveyed: 64.5% Malay, 17% Indian, 14% Chinese and 4.5% others. All (100%) the patients were satisfied with the explanation provided regarding the choices of anaesthesia, but 2% could not concentrate on the explanation because of labour pain. Overall, the average satisfaction with spinal anaesthesia administration was divided into 194 (97%) satisfied patients and 6 (3%) dissatisfied patients. Factors associated with dissatisfaction were inadequate analgesia during surgery and failed spinal anaesthesia. Post-operative complications included spinal headache 5 (2.5%), post-operative nausea and vomiting (PONV) 1 (0.5%), pain at the surgical site 2 (1%) and backache 2 (1%). Furthermore, 177 (88.5%) patients would opt for spinal anaesthesia in future for similar surgery, if required; 16 (8%) would not; and 7 (3.5%) were not sure. The reasons for refusal to receive spinal anaesthesia were as follows: awareness and failed regional anaesthesia.
The patients receiving spinal anaesthesia demonstrated a high rate of patient satisfaction. Ensuring the quality of spinal anaesthesia, improving clinical skill of the anaesthesiologists, and prevention of side effects might improve patient satisfaction.
本研究旨在评估脊髓麻醉后的患者满意度，脊髓麻醉是产科患者最常用的麻醉方式。
在直落英丹医院手术室对接受脊髓麻醉下剖宫产的患者进行横断面研究。术后第一天对患者进行调查，通过在一份编制好的问卷上收集术前和术中数据。由经过培训的麻醉人员询问术后数据，包括对麻醉医生关于麻醉的解释的满意度和理解情况、对接受脊髓麻醉及其不良反应的满意度，以及再次进行类似手术时接受或拒绝脊髓麻醉的意愿。
共调查了200名年龄在17至45岁之间的孕妇：64.5%为马来人，17%为印度人，14%为中国人，4.5%为其他种族。所有（100%）患者对提供的麻醉选择解释感到满意，但2%的患者因分娩疼痛而无法集中注意力听解释。总体而言，对脊髓麻醉实施的平均满意度分为194名（97%）满意患者和6名（3%）不满意患者。与不满意相关的因素是手术期间镇痛不足和脊髓麻醉失败。术后并发症包括脊髓性头痛5例（2.5%）、术后恶心呕吐（PONV）1例（0.5%）、手术部位疼痛2例（1%）和背痛2例（1%）。此外，177名（88.5%）患者未来如有类似手术需要，会选择脊髓麻醉；16名（8%）患者不会；7名（3.5%）患者不确定。拒绝接受脊髓麻醉的原因如下：知晓感和区域麻醉失败。
接受脊髓麻醉的患者显示出较高的患者满意度。确保脊髓麻醉质量、提高麻醉医生的临床技能以及预防副作用可能会提高患者满意度。
