Nara Medical University, Division of Intensive Care, Department of Anesthesiology, Nara, Japan.
Nara Medical University, Division of Intensive Care, Department of Anesthesiology, Nara, Japan.
Braz J Anesthesiol. 2021 Mar-Apr;71(2):103-109. doi: 10.1016/j.bjane.2021.02.006. Epub 2021 Feb 3.
Most previous reports have used questionnaires to investigate patient satisfaction regarding anesthesia-related care. We retrospectively investigated the dissatisfaction rate for anesthesia and the contributing factors for it using a questionnaire including anesthesia-related adverse events and a simplified patient satisfaction scale.
This is a retrospective review of an institutional registry containing 21,606 anesthesia cases. We conducted multivariate logistic analysis in 9,429 patients using the incidence of dissatisfaction as a dependent variable and other covariates, including items of anesthesia registry and a postoperative questionnaire, as independent variables to investigate factors significantly associated with the risk of dissatisfaction with anesthesia.
In the study population, 549 patients rated the anesthesia service as dissatisfactory. Multivariate analysis identified the preoperative presence of coexisting disease [odds ratio (OR), 1.29; 95% confidence interval (CI), 1.05-1.59], combination of regional anesthesia (OR, 1.44; 95% CI, 1.10-1.88), self-reported awareness (OR, 1.99; 95% CI, 1.29-3.06), postoperative nausea and vomiting (PONV) (OR, 1.54; 95% CI, 1.25-1.90), occurrence of nightmares (OR, 1.96; 95% CI, 1.52-2.53), and the number of days taken to visit a postoperative anesthesia consultation clinic (OR, 1.01; 95% CI, 1.00-1.02) to be independently associated with dissatisfaction with anesthesia service.
Patients with coexisting disease, undergoing a combination of regional anesthesia, with self-reported awareness, experiencing PONV, suffering from nightmares, and who took longer to visit a postoperative anesthesia consultation clinic tended to rate our anesthesia service as dissatisfactory. Although the exact reasons for the factors contributing to dissatisfaction are unknown, this study suggests that there is room to improve our service.
大多数先前的报告都使用问卷来调查患者对麻醉相关护理的满意度。我们使用包括麻醉相关不良事件和简化的患者满意度量表在内的问卷，回顾性调查了麻醉不满意率及其相关因素。
这是一项对包含 21606 例麻醉病例的机构登记处进行的回顾性研究。我们对 9429 例患者进行了多变量逻辑分析，将不满意的发生率作为因变量，将其他协变量（包括麻醉登记处和术后问卷的项目）作为自变量，以调查与麻醉不满意风险显著相关的因素。
在研究人群中，549 例患者对麻醉服务不满意。多变量分析确定术前并存疾病（比值比[OR]，1.29；95%置信区间[CI]，1.05-1.59）、区域麻醉联合（OR，1.44；95%CI，1.10-1.88）、自述知晓（OR，1.99；95%CI，1.29-3.06）、术后恶心呕吐（PONV）（OR，1.54；95%CI，1.25-1.90）、梦魇发生（OR，1.96；95%CI，1.52-2.53）和术后麻醉咨询门诊就诊天数（OR，1.01；95%CI，1.00-1.02）与对麻醉服务的不满独立相关。
患有并存疾病、接受区域麻醉联合、自述知晓、发生 PONV、出现梦魇和术后麻醉咨询门诊就诊时间较长的患者倾向于对我们的麻醉服务不满意。虽然导致不满意的因素的确切原因尚不清楚，但本研究表明我们的服务还有改进的空间。
