Department of Anaesthesia, Intensive Care and Resuscitation, Spitalregion Rheintal Werdenberg Sarganserland, Grabs, Switzerland.
Department of Anesthesiology, Critical Care Medicine and Pain Therapy, Hospital Memmingen, Germany.
Anaesthesia. 2017 Sep;72(9):1088-1096. doi: 10.1111/anae.13906. Epub 2017 May 16.
Patient satisfaction and quality of recovery are important measures of quality. Whether, and to what extent, patient satisfaction is influenced by quality of recovery, however, is not clear. The aim of this study was to evaluate the additional influence of quality of recovery on total patient satisfaction with anaesthesia and surgery. In this prospective cohort study, we used a validated quality of recovery questionnaire and a multi-item patient satisfaction questionnaire. Patients completed the quality of recovery questionnaire pre-operatively and 24 h postoperatively. One to two weeks after discharge, a third quality of recovery questionnaire was sent out, together with the patient satisfaction questionnaire. If no response was received after 2 weeks, a reminder containing the quality of recovery and the satisfaction questionnaire were mailed. Seven hundred and thirty-four patients were consecutively assessed for eligibility. Five hundred and seventy-nine patients completed at least one questionnaire (recruitment rate 79%). Four hundred and sixty-seven patients (81%) completed all four questionnaires. The total satisfaction score was high, with a mean (SD) of 94.6 (10.7) on a 0-100 scale. Correlation analysis between quality of recovery and total patient satisfaction showed correlations of 0.2-0.3. Testing different aspects of quality of recovery in models already containing the significant factors of patient satisfaction did not improve the model fit markedly. We conclude that quality of recovery has only a marginal additional effect on total patient satisfaction with anaesthesia and surgery.
患者满意度和康复质量是衡量医疗质量的重要指标。然而，患者满意度是否以及在何种程度上受到康复质量的影响尚不清楚。本研究旨在评估康复质量对麻醉和手术总患者满意度的额外影响。在这项前瞻性队列研究中，我们使用了经过验证的康复质量问卷和多项患者满意度问卷。患者在术前和术后 24 小时完成康复质量问卷。出院后 1 至 2 周，我们会发送第三份康复质量问卷和患者满意度问卷。如果在 2 周后未收到回复，我们会邮寄包含康复质量和满意度问卷的提醒。连续评估了 734 名符合条件的患者。579 名患者完成了至少一份问卷（招募率为 79%）。467 名患者（81%）完成了所有四份问卷。总满意度评分很高，0-100 分制的平均（SD）为 94.6（10.7）。康复质量与总患者满意度之间的相关分析显示相关性为 0.2-0.3。在已经包含患者满意度的显著因素的模型中测试康复质量的不同方面，并没有显著改善模型拟合度。我们的结论是，康复质量对麻醉和手术的总患者满意度只有微小的额外影响。
