Idris Idris Mohammed, Weldegiorgis Ghidey Gebreyohanns, Tesfamariam Eyasu Habte
Department of Anesthesia and Critical Care, School of Nursing, Asmara College of Health Sciences, Asmara, Eritrea.
Asmara College of Health Sciences, Asmara, Eritrea.
Anesthesiol Res Pract. 2020 Mar 21;2020:5025309. doi: 10.1155/2020/5025309. eCollection 2020.
Satisfaction of mothers during caesarean section is an important indicator for measuring quality of obstetric anesthesia. This study aimed to determine mothers' level of satisfaction and the predicting factors of dissatisfaction towards spinal anesthesia during caesarean section.
Cross-sectional study design was utilized in Orotta Maternity Hospital (OMH) and Sembel Hospital from December 2017 to February 2018, in Asmara, Eritrea. Satisfaction of the mothers was measured using a pretested questionnaire. Bivariate and multivariate logistic regression were utilized to identify predictors of dissatisfaction using SPSS (Version 22.0).
Involvement of mothers in the choice of anesthesia (3.3%) and explanation about the stay at operating theater (10%) were the two least reported items. As per the subscale analysis, the lowest satisfaction was observed for the preoperative assessment (16.7%). Overall, 87.9% of the mothers were satisfied with the spinal anesthetic service. Hospital at which anesthesia was administered ( < 0.001), marital status ( < 0.001), and intraoperative pain ( < 0.001) were significant predictors of dissatisfaction towards spinal anesthesia. Moreover, the rate of refusal to have spinal anesthesia in the future was 12.5%.
Though overall satisfaction can be considered as fair, preoperative assessment is considerably low. Hence, explaining the benefits and risks of the anesthetic techniques as well as considering patient's opinion is very important while deciding the type of anesthesia.
剖宫产术中母亲的满意度是衡量产科麻醉质量的重要指标。本研究旨在确定母亲的满意度水平以及剖宫产术中对脊麻不满意的预测因素。
2017年12月至2018年2月在厄立特里亚阿斯马拉的奥罗塔妇产医院（OMH）和森贝尔医院采用横断面研究设计。使用预先测试的问卷来衡量母亲的满意度。使用SPSS（版本22.0）进行双变量和多变量逻辑回归以确定不满意的预测因素。
母亲参与麻醉选择（3.3%）和关于在手术室停留的解释（10%）是报告最少的两项内容。根据子量表分析，术前评估的满意度最低（16.7%）。总体而言，87.9%的母亲对脊麻服务感到满意。实施麻醉的医院（<0.001）、婚姻状况（<0.001）和术中疼痛（<0.001）是对脊麻不满意的重要预测因素。此外，未来拒绝接受脊麻的比例为12.5%。
虽然总体满意度可认为尚可，但术前评估相当低。因此，在决定麻醉类型时，解释麻醉技术的益处和风险以及考虑患者的意见非常重要。
