Department of Anaesthesiology, National Maternity Hospital, Dublin, Ireland; University College Dublin, Ireland.
Department of Anaesthesia, BC Women's Hospital, Vancouver, BC, Canada.
Int J Obstet Anesth. 2024 Nov;60:104227. doi: 10.1016/j.ijoa.2024.104227. Epub 2024 Jun 20.
Patient satisfaction and quality of recovery (QoR) are important patient-reported outcomes and quality metrics. The relationship between these two outcomes is complex, with studies showing a weak correlation between them in the non-obstetric population. We sought to evaluate the correlation between patient satisfaction and QoR scores in the obstetric population after caesarean delivery. As secondary aims, we aimed to determine the influence of urgency of procedure and mode of anaesthetic on patient satisfaction and QoR scores as well as determining drivers of satisfaction and dissatisfaction.
Women were invited to complete the Maternal Satisfaction Scale for Caesarean Section (MSCS) and Obstetric Quality of Recovery Score (ObsQoR-11) questionnaires at 24 h after caesarean delivery. Correlations were analysed using Spearman's rank tests. Qualitative data were analyzed using thematic content analysis.
Data were collected from 300 women. There was a significant but weak positive correlation between ObsQoR-11 and MSCS scores (r = 0.31, P < 0.001). Correlation was significantly influenced by mode of anaesthesia (P < 0.001) and urgency of procedure (P = 0.005), with greater satisfaction amongst patients receiving spinal anaesthesia and those undergoing scheduled caesarean deliveries for a given QoR score. Quality of communication, interactions with staff and aspects of the postpartum physical environment were significant determinants of satisfaction and dissatisfaction.
Maternal satisfaction and obstetric QoR are distinct entities with a weak correlation between the two variables. Urgency of procedure and mode of anaesthesia are significant predictors of the correlation between satisfaction and quality of recovery scores. Many of the drivers of satisfaction were modifiable including quality of communication and a comfortable physical space for postpartum recovery.
患者满意度和康复质量（QoR）是重要的患者报告结果和质量指标。这两个结果之间的关系很复杂，非产科人群的研究表明它们之间相关性较弱。我们旨在评估剖宫产术后患者满意度和 QoR 评分之间的相关性。作为次要目标，我们旨在确定手术紧迫性和麻醉方式对患者满意度和 QoR 评分的影响，以及确定满意度和不满的驱动因素。
在剖宫产术后 24 小时，邀请女性完成剖宫产产妇满意度量表（MSCS）和产科康复质量评分（ObsQoR-11）问卷。使用 Spearman 等级相关分析来分析相关性。使用主题内容分析对定性数据进行分析。
共收集了 300 名女性的数据。ObsQoR-11 与 MSCS 评分之间存在显著但较弱的正相关（r=0.31，P<0.001）。相关性受到麻醉方式（P<0.001）和手术紧迫性（P=0.005）的显著影响，在给定 QoR 评分下，接受脊髓麻醉的患者和计划性剖宫产的患者满意度更高。沟通质量、与工作人员的互动以及产后物理环境的各个方面是满意度和不满的重要决定因素。
产妇满意度和产科 QoR 是两个不同的实体，两者之间相关性较弱。手术紧迫性和麻醉方式是满意度和康复质量评分之间相关性的重要预测因素。许多满意度的驱动因素是可改变的，包括沟通质量和产后恢复的舒适物理空间。
