Ambulkar Reshma, Patel Alim, Patil Sanika, Savarkar Sukhada
Department of Anaesthesia Critical Care and Pain, Tata Memorial Centre, Dr Ernest Borges Road, Parel, Mumbai, India.
Department of Anaesthesia, Govertment Medical College and Hospital, Aurangabad, Maharashtra, India.
J Anaesthesiol Clin Pharmacol. 2022 Jan-Mar;38(1):111-117. doi: 10.4103/joacp.JOACP_187_20. Epub 2022 Jan 12.
Patient satisfaction is an important measure of quality of health care. Its assessment leads to a balanced evaluation of the structure, process and outcome of service at an institution. The aim of our study was to assess patient satisfaction with perioperative anaesthesia services provided in our institution and identify factors leading to dissatisfaction which could be preventable or addressed to improve patient care and experience.
A convenient sample size of 200 patients was accrued after written informed consent. A questionnaire to suit local needs of institute was developed, validated and a language appropriate questionnaire was administered by a trained research nurse 24-48 hours post anaesthesia to accrued patients. Data was summarised in percentages and satisfaction scores were compared across demographic variables using Chi square test.
A total of 96% (192/200) patients were satisfied with the overall interaction with the anaesthetists in the perioperative period; with 99% (198/200) patients being satisfied with acute pain services provided, postoperatively. As regards to recovery room, 96.5% (193/200) patients were satisfied with the services provided. Satisfaction scores of the pre-anaesthetic clinic (PAC), pain team and anaesthesia services compared across demographic variables - age, gender and education qualifications were found to be statistically non-significant.
High rate of patients were satisfied with perioperative anaesthesia care services at our institute. Good and effective preoperative communication with the patient, effective management of postoperative pain and complications significantly contributed towards overall high patient satisfaction.
患者满意度是医疗质量的一项重要衡量指标。对其进行评估有助于对医疗机构服务的结构、过程及结果进行全面评价。本研究的目的是评估我院围手术期麻醉服务的患者满意度,并找出导致不满的因素,这些因素可能是可预防的或可加以解决的,以改善患者护理及就医体验。
在获得书面知情同意后,选取了200例患者作为便利样本。编制了一份符合我院当地需求的问卷,进行了效度验证,并由一名经过培训的研究护士在麻醉后24至48小时向入选患者发放了一份语言合适的问卷。数据以百分比形式汇总,并使用卡方检验比较不同人口统计学变量的满意度得分。
共有96%(192/200)的患者对围手术期与麻醉医生的总体互动感到满意;99%(198/200)的患者对术后提供的急性疼痛服务感到满意。关于恢复室,96.5%(193/200)的患者对所提供的服务感到满意。比较麻醉前门诊(PAC)、疼痛团队及麻醉服务在年龄、性别和教育程度等人口统计学变量方面的满意度得分,发现差异无统计学意义。
我院围手术期麻醉护理服务的患者满意度较高。术前与患者进行良好有效的沟通、对术后疼痛及并发症进行有效管理,对总体较高的患者满意度有显著贡献。