Causes of Patient Dissatisfaction with Anesthetic Care

Abstract

Background: Patient satisfaction with anesthesia is an important outcome of hospital care. The aim of this study was to assess the overall level of satisfaction with anesthetic care and to identify predictive factors associated with dissatisfaction.Methods: Our subjects were adult in-patients with ASA 1-3 who had undergone an elective operation during the previous 12 months. The major measure of subjective outcome was the overall level of satisfaction with anesthetic care on the first day after operation. Patients were asked to rate if they were 'very satisfied', 'somewhat satisfied', 'neutral', 'somewhat dissatisfied' or 'very dissatisfied'. We also measured other predetermined outcomes, such as nausea, vomiting, pain and other complications.Results: At the time of analysis, our database contained information on 3376 patients. 283 (8.4%) patients were 'very satisfied', 1826 (54.1%) were 'somewhat satisfied', 1119 (33.1%) were 'neutral', 133 (3.9%) were 'somewhat dissatisfied' and 15 (0.4%) were 'very dissatisfied' with their anaesthetic care. The number of postanesthetic factors (81.7%) were greater than the number of preanesthetic factors (8.8%) and intranesthetic factors (9.5%) for dissatisfaction with anesthetic care. The causes of dissatisfaction were postoperative pain (43 patients, 29.1%), postoperative nausea and vomiting (17, 11.5%), sore throat (17, 11.5%), waiting a long time before surgery (9, 6.1%), myalgia (6, 4.1%), back pain (6, 4.1%) and other complications. Strong relations were found between patient dissatisfaction and an anesthetic duration of more than 2 hours, moderate or severe postoperative pain, moderate to severe postoperative nausea and vomiting, and other anesthesia-related adverse events.Conclusions: This study found that patient satisfaction with anesthetic care is high and identified several factors associated with dissatisfaction that may be preventable or better managed.

Factors in patient dissatisfaction and refusal regarding spinal anesthesia

“…Because researching patient satisfaction helps evaluate medical care and leads to improved quality of anesthesia, anesthesiologists' attempts to reduce the complications of spinal anesthesia, which can affect the dissatisfaction with spinal block, are extremely important [ 3 - 5 ]. These attempts will also improve the quality of anesthesia and intensify the relationship between anesthesiologists and their patients [ 4 ].…”

Influence of Pre-operative Fasting Time on Blood Glucose in Older Patients

“…수술 전 금 식을 지연시키는 수술 대기 시간 지연이 수술 환자들의 불만족 요 인이 되고 있지만 (Oh, Kim, Choi, & Chung, 2005 (Bagshaw et al, 2009;Bremer et al, 2009;Matyka et al, 1997). 또한 비당뇨 노인에게 저혈당이 발생된 것으로 보고한 몇몇 선행 연구 (Kagansky et al, 2003;Mannucci et al, 2006;Ng, 2010 Comparison of blood glucose between 2 hr fasting on pre OP 1 day and 8 hr fasted on OP day; M = male; F = female; ‡ Mean of blood glucose at 10 hr, 12 hr, and 14 hr pre-operatve fasting on operative day.…”