A prospective study on elective surgical inpatient satisfaction with perioperative anaesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia

Abstract

Background Patient satisfaction is a subjective and challenging perception, linking physical, expressive, psychological, societal, and cultural factors. Dissatisfaction arises if the patient feels an inconsistency between expected and delivered care. Usually health care satisfactions are very high and according to many studies levels of satisfaction are above 85% and patient’s satisfaction in terms of anesthesia is not very different. The aim of this study was to assess patient’s satisfaction with perioperative anesthesia service and associated factors. Methods Institution-based cross-sectional study was conducted from December to January, 2017/8 at the Ayder Comprehensive Specialize Hospital. The data were collected using structured interviewer-administered questionnaire prepared to collect data on demographic character of the patients, determinant factors which could affect the patient satisfaction level on anesthesia service. Epi Info version 6 was used to record the data and SPSS version 20 was used for the analysis. Descriptive statistics were used to explore the socio-demographic characteristics of patients; factors possibly related to satisfaction level and overall satisfaction were summarized as frequencies and percentages. Results One hundred twenty consecutive patients were originally enrolled in the study that took over 1 Month. The overall proportion of patients who satisfied with anaesthesia services was 88.33%. Nausea and vomiting, pain, shortness of breath and cold were factors which affected patient satisfaction negatively. Conclusion and recommendation Compared with the other studies done at home and abroad; the overall proportion of patients, in Ayder comprehensive specialized hospital, who responded for satisfaction with perioperative anesthesia service is low. Patient satisfaction level should be determined regularly and all bodies should work to decrease the factors which decrease the satisfaction level.

Factors associated with patient satisfaction with perioperative anesthesia care at Hawassa university comprehensive specialized hospital, Ethiopia: Cross-sectional study design

“…A study was done by Ryder hospital by Bnewu et al and Gonder hospital Endale et al patient who operated regional anesthesia were more satisfied than general anesthesia (13,14).Similarity due to regional anesthesia decrease nausea and vomiting, sore throat, shivering postoperative pain. The main finding of this study was predictors of perioperative patient dissatisfaction were general anaesthesia, duration of surgery, nausea and vomiting and pain after surgery…”

“…Variables P-value < 0.2 binary logistic regression included in a multivariate logistic regression and p_value less than 0.05 was taken as statistically significant. satisfied than male participant and more educated people are high satisfaction level (13,14).This variation may be the subjective and complex concept of patient satisfaction.…”

Bibliographic Review Factors Influencing Patient's Anesthetic Satisfaction

“…In addition, with this theoretical review the authors showed that the factors that determine satisfaction are several and diverse and include aspects related to the patient, the anesthesiology staff, the surgery and the health institution. Another finding of this review is that various instruments are used to measure patient satisfaction with anesthesia, some of these have been widely validated 8,12,13,16,18,21-23,25,28, while others are less robust and were created only to analyze a specific case series 3,9,17,19,20,24,26. These variations could be the explanation for the notable differences between the satisfaction reports observed in this research.…”

Factors associated with patient Satisfaction with Anaesthetic care at A Tertiary Care Hospital

“…This kind of Survey data can be used to know the areas where action is needed. Consultant can use the finding of such survey to improve quality of hospital care [11] . Pain is the most important Couse of patient dissatisfaction in the perioperative period followed by other complications like nausea and vomiting, sore throat and shivering [12] .…”