Dexter F, Aker J, Wright W A
Department of Anesthesia, University of Iowa, Iowa City 52242, USA.
Anesthesiology. 1997 Oct;87(4):865-73. doi: 10.1097/00000542-199710000-00021.
The authors describe development of the Iowa Satisfaction with Anesthesia Scale (ISAS) for monitored anesthesia care (MAC). Patients complete the self-administered written questionnaire before discharge from the hospital. The authors designed the ISAS to measure satisfaction with MAC itself, not the perioperative experience. Patients respond to eleven statements (e.g., "I felt pain") by placing a mark along a six-choice vertical response column (e.g., "Disagree moderately") below each statement. The mean of their responses to each of the 11 statements gives a single number, which is a quantitative measure of a patient's satisfaction with their MAC.
Adult, English-speaking patients completed the questionnaires following admission to a phase II postanesthesia care unit after MAC.
Response rate for MAC was 92% (86 of 94 patients). Patients completed the questionnaire in 4.6 +/- 2.3 min. Internal consistency, Cronbach's alpha, equaled 0.80. Patients' scores were positively correlated with those predicted by their anesthesia provider (r2 = 0.23) and with responses to the question "I was satisfied with my anesthetic care" (Kendall's tau = +0.41). Scores on initial and repeat questionnaires were positively correlated (r2 = 0.74). Scores on initial questionnaires and those completed within 4.4 +/- 1.7 days postoperatively were positively correlated (r2 = 0.76).
The authors have developed and tested an internally consistent, reliable, and valid measure of patient satisfaction with MAC.
作者描述了用于监测麻醉护理（MAC）的爱荷华麻醉满意度量表（ISAS）的开发情况。患者在出院前完成自行填写的书面问卷。作者设计ISAS是为了测量对MAC本身的满意度，而非围手术期体验。患者通过在每个陈述下方的六选垂直反应栏（如“中度不同意”）上做标记来回答11个陈述（如“我感到疼痛”）。他们对11个陈述中每个陈述的回答的平均值得出一个单一数字，这是患者对其MAC满意度的定量衡量指标。
成年、说英语的患者在MAC后入住II期麻醉后护理单元后完成问卷。
MAC的回复率为92%（94名患者中的86名）。患者完成问卷用时4.6±2.3分钟。内部一致性，即克朗巴哈系数α等于0.80。患者的得分与麻醉提供者预测的得分呈正相关（r2 = 0.23），并与对“我对我的麻醉护理感到满意”这个问题的回答呈正相关（肯德尔相关系数tau = +0.41）。初次问卷和重复问卷的得分呈正相关（r2 = 0.74）。初次问卷得分与术后4.4±1.7天内完成的问卷得分呈正相关（r2 = 0.76）。
作者开发并测试了一种内部一致、可靠且有效的患者对MAC满意度的测量方法。
