Satisfaction with spinal anaesthesia service and pain management in early postoperative period in patients undergoing spinal lumbar hernia microdiscectomy

Usas, E.; Banevičius, Gediminas; Bilskienė, Diana; Paplauskaite, K.; Silinskyte, L.

doi:10.1097/00003643-201206001-00035

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“…7 During the last decade, patient satisfaction ratings have been highlighted as an important objective of health care: this ensures the quality of anaesthesia care, improves and intensifies the doctor-patient relationship, and can also be a marketing tool in terms of customer orientation. 8 Although patients receiving spinal anaesthesia demonstrated a high rate of patient satisfaction some dissatisfaction was also reported with the preoperative explanation due to labour pain, discomfort during operation, pain at the surgical site and back pain in the postoperative period. 9,10 African studies showed a relative lower satisfaction rate compared to other studies.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with spinal anaesthesia for Caesarean section at Tembisa Hospital, South Africa: a cross-sectional study

Makoko

Modiba

Nzaumvila

2018

South African Family Practice

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Background: The most recommended type of anaesthesia by many obstetric guidelines for Caesarean section (CS) is spinal anaesthesia. This to achieve a higher level of pain and comfort control for the patient during and after CS. Little scientific research has assessed mothers' satisfaction with spinal anaesthesia. Methods: This was a cross-sectional study conducted at the maternity unit of Tembisa Hospital, South Africa in March 2014. Results: Overall satisfaction with spinal anaesthesia was 77.1%. The mean age (SD) was 27.9 (5.8) years. CS was mostly done as an emergency 63 (76.8%). The level of satisfaction varied greatly. There was a linear regression between age and answer scores regarding preoperative explanations (r = 0.2. R-squared = 0.05, p-value of 0.03. There was an association between preoperative explanations and gravidity (OR 13.1; CL 95%; CI 1.9-41.7; p = 0.0018). In perioperative time, elective CS was associated with verbal communication with the doctor administrating the spinal anaesthesia (OR 13.5; CL 95% CI 0.7-237.3; p = 0.0017). Pain at the injection site of lumbar puncture (OR 4; CL 95% CI 1.2-13; p = 0.025) and the atmosphere in the theatre (OR 4.1; CL 95% CI 1.1-15.5; p = 0.02) were determinant for future choice of spinal anaesthesia. Conclusion: Integrating pre-anaesthesia explanations in antenatal care and pre-anaesthesia counselling during labour and the use of adequate medication to reduce discomfort, pain and shivering may increase maternal satisfaction with spinal anaesthesia for CS.

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Section: Introductionmentioning

confidence: 99%