Gebremedhn Endale Gebreegziabher, Nagaratnam Vidhya
Department of Anesthesia, School of Medicine, Gondar College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Patient Relat Outcome Meas. 2014 Sep 16;5:105-10. doi: 10.2147/PROM.S66737. eCollection 2014.
The evaluation of patient satisfaction is a core aspect of the continuous quality improvement in anesthesia service that can be affected by the preoperative anesthetist visit. This visit enables the anesthetist to know about the patient's general health status and the nature of surgery, to choose the type of anesthesia, and to discuss perioperative complications and their management with the patient. Patients have sometimes complained about the information given during the preoperative anesthetic evaluation in the University of Gondar teaching and referral hospital. The aim of this study was to determine the level of patient satisfaction with the preoperative anesthetist visit.
A cross-sectional study was conducted from February 15 to April 15, 2013. All consecutive elective patients who were operated upon under anesthesia during the study period were interviewed 24 hours after operation. A pretested questionnaire and checklists, which were developed based on the hospital's anesthetic evaluation sheet, were used for data collection.
A total of 116 elective patients were operated upon under anesthesia during the study period. Of these, 102 patients were included in our study, with a response rate of 87.9%. Anesthetists introduced themselves to ∼24% patients; provided information about anesthesia to ∼32%, postoperative complications to ∼21%, postoperative analgesia to ∼18, and postoperative nausea and vomiting to ∼21%; and spent adequate time with ∼74%. Patients' questions were answered by the anesthetist in ∼65% of cases, and ∼65% of patients had reduced anxiety after the anesthetist visit. The patients' overall satisfaction with the preoperative anesthetist visit was ∼65%.
Patient satisfaction with the preoperative anesthetic evaluation was low compared with the Royal College of Anaesthetists standards. Preoperative anesthetic evaluation should be emphasized.
患者满意度评估是麻醉服务持续质量改进的核心内容，术前麻醉医生访视可能会对其产生影响。此次访视能使麻醉医生了解患者的一般健康状况和手术性质，选择麻醉类型，并与患者讨论围手术期并发症及其处理方法。在贡德尔大学教学与转诊医院，患者有时会对术前麻醉评估时提供的信息提出抱怨。本研究的目的是确定患者对术前麻醉医生访视的满意度水平。
于2013年2月15日至4月15日进行了一项横断面研究。在研究期间接受麻醉手术的所有连续择期患者在术后24小时接受访谈。基于医院麻醉评估表编制的经过预测试的问卷和检查表用于数据收集。
在研究期间，共有116例择期患者接受了麻醉手术。其中，102例患者纳入我们的研究，应答率为87.9%。麻醉医生向约24%的患者作了自我介绍；向约32%的患者提供了有关麻醉的信息，向约21%的患者介绍了术后并发症，向约18%的患者介绍了术后镇痛，向约21%的患者介绍了术后恶心和呕吐；约74%的患者得到了足够的时间交流。在约65%的情况下，麻醉医生回答了患者的问题，约65%的患者在麻醉医生访视后焦虑减轻。患者对术前麻醉医生访视的总体满意度约为65%。
与皇家麻醉师学院的标准相比，患者对术前麻醉评估的满意度较低。应重视术前麻醉评估。
