Sadlak Natalie, Fiorello Marissa G, Cabral Howard J, Subramanian Manju L, Desai Manishi A, Lee Hyunjoo J
Department of Ophthalmology, Boston University School of Medicine, Boston, MA, USA.
Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Clin Ophthalmol. 2022 Mar 6;16:677-683. doi: 10.2147/OPTH.S351010. eCollection 2022.
This secondary analysis of a clinical trial that measured surgeon, anesthesiologist, and patient satisfaction following ophthalmic surgery under monitored anesthesia care (MAC) with a benzodiazepine investigates the degree of association between patient satisfaction with anesthesia compared to surgeon and anesthesiologist satisfaction with anesthesia.
Data from analogous 6-point surgeon satisfaction surveys and anesthesiologist satisfaction surveys were compared to data from a 6-point validated patient satisfaction survey collected from a clinical trial investigating satisfaction with different forms of benzodiazepine for patients undergoing cataract, retina, cornea, or glaucoma surgery. Relationships between measures were analyzed using Pearson's correlation coefficient, with further subgroup analysis based on language groups and single-question measures of satisfaction.
A total of 283 ophthalmic surgical cases were analyzed. Mean surgeon satisfaction was 5.27 (range, 1.33-6.00), mean anesthesiologist satisfaction was 5.12 (range, 1.17-6.00), and mean patient satisfaction was 5.28 (range, 2.58-6.00). The correlation between surgeon and patient satisfaction was 0.333 (p = 9.06e-9), while the correlation between anesthesiologist and patient satisfaction was 0.319 (p = 4.28e-8). There was no difference between English and non-English speaking patients in correlation between surgeon and patient satisfaction (p = 0.08) and anesthesiologist and patient satisfaction (p = 0.47).
The data demonstrate a low level of association between patient satisfaction with anesthesia and provider satisfaction, even when patient language is taken into consideration. This suggests that providers are poor predictors of patient satisfaction with anesthesia and are unreliable judges of patient comfort perioperatively.
本项对一项临床试验的二次分析，该试验测量了在苯二氮䓬类药物监护下麻醉（MAC）的眼科手术后外科医生、麻醉医生和患者的满意度，旨在研究患者对麻醉的满意度与外科医生和麻醉医生对麻醉的满意度之间的关联程度。
将类似的6分制外科医生满意度调查和麻醉医生满意度调查数据，与一项临床试验收集的6分制有效患者满意度调查数据进行比较，该临床试验调查了白内障、视网膜、角膜或青光眼手术患者对不同形式苯二氮䓬类药物的满意度。使用Pearson相关系数分析各项测量指标之间的关系，并基于语言组和单一问题满意度测量进行进一步的亚组分析。
共分析了283例眼科手术病例。外科医生的平均满意度为5.27（范围1.33 - 6.00），麻醉医生的平均满意度为5.12（范围1.17 - 6.00），患者的平均满意度为5.28（范围2.58 - 6.00）。外科医生与患者满意度之间的相关性为0.333（p = 9.06e - 9），而麻醉医生与患者满意度之间的相关性为0.319（p = 4.28e - 8）。英语和非英语患者在外科医生与患者满意度（p = 0.08）以及麻醉医生与患者满意度（p = 0.47）的相关性方面没有差异。
数据表明，即使考虑患者语言因素，患者对麻醉的满意度与提供者满意度之间的关联程度也较低。这表明提供者难以预测患者对麻醉的满意度，并且在围手术期对患者舒适度的判断不可靠。
