Department of Anaesthesia, Spital Grabs, Spitalstr. 44, 9472, Grabs, Switzerland.
Department of Medical Oncology and Haematology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Anaesthesiologie. 2023 Feb;72(2):97-105. doi: 10.1007/s00101-022-01192-x. Epub 2022 Aug 29.
Up to now, no prospective cohort study using a validated questionnaire has assessed patients' expectation and perception of divided anesthesia care and its influence on patient satisfaction.
We assessed patient satisfaction with divided anesthesia care in a district general hospital in Switzerland. We hypothesized that patient expectations, combined with their perceptions of the (un)importance of continuous anesthesia care would influence patient satisfaction.
A total of 484 eligible in-patients receiving anesthesia from October 2019 to February 2020 were included and received preoperative information about divided care via a brochure and face-to-face. The primary outcome was the assessment of patient satisfaction with divided anesthesia care using a validated questionnaire. In group 1 continuity of care was considered important but not performed. In group 2 continuity was ensured. In group 3 continuity was regarded as not important and was not performed. In group 4 patients could not remember or did not answer. A psychometrically developed validated questionnaire was sent to patients at home after discharge.
A total of 484 completed questionnaires (response rate 81%) were analyzed. In group 1 (n = 110) the mean total dissatisfaction score was 25% (95% confidence interval [CI] 21.8-28.1), in group 2 (n = 61) 6.8% (95% CI 4.8-8.7), in group 3 (n = 223) 12.1% (95% CI 10.7-13.4), and in group 4 (n = 90) 15% (95% CI 11-18); ANOVA: p < 0.001, η = 0.43. Of the patients 286 (59%) considered continuity of care by the same anesthetist relatively unimportant (34%) or not important at all (25%). The other 40% considered it important (22%) or very important (18%).
Despite receiving comprehensive preoperative information about divided anesthesia care, 40% of patients still considered continuity of care by the same anesthetist important. We recommend further research evaluating whether and how patient expectations can be modified towards the common practice of divided care and patient satisfaction can be increased.
迄今为止，尚无前瞻性队列研究使用经过验证的问卷评估患者对分割麻醉护理的期望和感知及其对患者满意度的影响。
我们评估了瑞士一家地区综合医院中患者对分割麻醉护理的满意度。我们假设，患者的期望加上他们对连续麻醉护理的（不重要）感知会影响患者的满意度。
共纳入 2019 年 10 月至 2020 年 2 月接受麻醉的 484 名符合条件的住院患者，并通过小册子和面对面的方式接受了关于分割护理的术前信息。主要结局是使用经过验证的问卷评估患者对分割麻醉护理的满意度。在第 1 组中，连续性护理被认为很重要但未实施。在第 2 组中，确保了连续性。在第 3 组中，连续性被认为不重要且未实施。在第 4 组中，患者无法记住或未回答。出院后，向患者发送了一份经过心理测量学开发的经过验证的问卷。
共分析了 484 份完成的问卷（应答率 81%）。在第 1 组（n=110）中，总不满意评分的平均值为 25%（95%置信区间[CI]21.8-28.1），在第 2 组（n=61）中为 6.8%（95%CI 4.8-8.7），在第 3 组（n=223）中为 12.1%（95%CI 10.7-13.4），在第 4 组（n=90）中为 15%（95%CI 11-18）；方差分析：p<0.001，η=0.43。286 名患者中有 59%（286 名）认为由同一名麻醉师提供连续性护理相对不重要（34%）或根本不重要（25%）。其他 40%的人认为它很重要（22%）或非常重要（18%）。
尽管患者接受了关于分割麻醉护理的全面术前信息，但仍有 40%的患者认为由同一名麻醉师提供连续性护理很重要。我们建议进一步研究评估是否可以以及如何修改患者的期望，以适应分割护理的常见实践，并提高患者的满意度。
