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Evidence-based Practice and Quality Improvement

Is the patient satisfied with anesthesia care?

1AP4-8

Ferreira, T.; Oliveira, F.; Arede, M. J.; Vico, M.; Assunção, J. P.

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European Journal of Anaesthesiology (EJA): June 2013 - Volume 30 - Issue - p 17-17
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Background and Goal of Study: Clinical audit can be an effective method for checking and improving clinical practice. Patient satisfaction is an important measure of the health system quality. There are several factors that can influence the degree of satisfaction of patients, they are: anxiety level, nausea, vomiting, postoperative pain and the patient's clarification regarding their anesthetic plan. These work objectives were to measure patient satisfaction and determine which factors can influence this level of satisfaction.

Materials and Methods: We conducted a total of 138 surveys to adult patients submitted to elective general surgery, between November 2010 and January 2011. The patients were visited between 12 and 36 hours after the anesthetic procedure. We analyzed demographic features, recorded patients satisfaction and several variables related to the perioperative period. We used the Chi-square test.

Results and Discussion: The mean of age was 61.8 years and 51.5% were women. Most patients (84%) were preoperatively assessed by an anesthesiologist, 73.9% had clarified their concerns and to 45.7% the anesthetic plan was explained. The majority received pre anesthetic medication (62%) and 25.4% had postoperative analgesia prescribed by the anesthesiologist. The most frequent complaints were nausea and vomiting (16.7%), mild pain (29%), moderate pain (20.2%) and severe pain (34.1%). As in others studies, our patients showed high degrees of satisfaction, 68.1% very satisfied and 31.2% satisfied. We found no relation between the use of pre anesthetic medication and degree of satisfaction (p=0.352). Neither post operative analgesia prescribed by the anesthesiologist (p=0.769), nor the type of anesthesia (p=0.91) were related to the degree of patient satisfaction.As it has been described in the literature, nausea and vomiting (p=0.025) and pain (p=0.000) were related with de degree of satisfaction. Also the enlightenment of patients concerning the anesthesia care was related to their satisfaction (p=0.000).

Conclusion(s): Post operative investigations in anesthetized patients are without doubt an excellent instrument to draw conclusions regarding our clinical practice.

We concluded that is not the type of anesthesia that influences the patient satisfaction, but other factors like, postoperative pain, nausea and vomit, and the communication between the anesthesiologist and the patient

© 2013 European Society of Anaesthesiology