García-Galicia Arturo, Bautista-Soto Edgar, Montiel-Jarquín Álvaro José, Hernández-Díaz Jared Milagros, Montes-Alvarado Martha Alicia, López-García Diana, Tapia-Venancia Maricarmen, Bertado-Ramírez Nancy Rosalía
1Instituto Mexicano del Seguro Social, Centro Médico Nacional "Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional "Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Servicio de Anestesiología. Puebla, Puebla, México.
Rev Med Inst Mex Seguro Soc. 2024 Sep 2;62(5):1-8. doi: 10.5281/zenodo.12667986.
The degree of satisfaction is an indicator of the quality of health care. Its measurement allows to understand the strengths and weaknesses associated with the anesthesia procedure and to improve the quality of service.
To evaluate the validity and consistency of a new rapid scale of patient satisfaction with the anesthetic procedure.
Comparative, longitudinal study in patients in post-anesthetic care. It consisted of two phases: Phase 1: Development of a Likert-type rapid scale to assess post-anesthesia patient satisfaction. Patients were pilot tested to evaluate the wording until 2 consecutive rounds were achieved. Phase 2: The developed instrument (ERSAPA according to its initials in Spanish) and the control questionnaire (LPPSq) were administered to patients after their discharge from the Post-Anesthesia Care Unit. Cronbach's alpha was used to evaluate the internal consistency between both tests, and Sperman's rho for convergent validity.
A total of 250 patients were surveyed. An overall satisfaction was achieved in 82.46% of the population. The domain with the highest agreement was pre-anesthesia consultation care. The internal consistency (Cronbach's alpha) was 0.84, with a Spearman's convergent validity of 0.719 (p = 0.001), and an intra-observer reliability analysis by intraclass correlation coefficient of 0.945 (p = 0.001).
The ERSAPA scale is consistent and valid for assessing patient satisfaction in the Anesthesia Service.
满意度是医疗保健质量的一个指标。对其进行测量有助于了解与麻醉程序相关的优缺点，并提高服务质量。
评估一种新的麻醉程序患者快速满意度量表的有效性和一致性。
对麻醉后护理患者进行比较性纵向研究。研究包括两个阶段：阶段1：开发一个李克特式快速量表以评估麻醉后患者的满意度。对患者进行预测试以评估措辞，直至连续两轮测试成功。阶段2：在患者从麻醉后护理单元出院后，向其发放所开发的工具（根据其西班牙语首字母缩写为ERSAPA）和对照问卷（LPPSq）。使用克朗巴哈系数评估两项测试之间的内部一致性，使用斯皮尔曼等级相关系数评估收敛效度。
共对250名患者进行了调查。82.46%的人群总体满意。一致性最高的领域是麻醉前咨询护理。内部一致性（克朗巴哈系数）为0.84，斯皮尔曼收敛效度为0.719（p = 0.001），组内相关系数的观察者内信度分析为0.945（p = 0.001）。
ERSAPA量表在评估麻醉服务患者满意度方面具有一致性和有效性。
