Assessment of Patient Satisfaction with the Pre-Operative Anesthetic Evaluation; an Observational Study
Keywords:
Anesthetist Visit, Patient Satisfaction, Pre-Operative Anaesthetist Visit, Anaesthesia ServicesAbstract
OBJECTIVES
This study aimed to determine patient satisfaction with the pre-operative anaesthetist visit.
METHODOLOGY
A cross-sectional study was conducted from March to September 2023. All consecutive elective patients operated under anaesthesia during the study period were interviewed 24 hours after the operation. Data were collected by the Leiden peri-operative patient satisfaction questionnaire (LPPSq) within 24 hours postoperatively. SPSS 26 version was used for data analysis. The chi-square test was used to compare pre-operative visits and patient satisfaction.
RESULTS
230 elective patients were operated upon under anaesthesia during the study period. Among all sections, the Fear and concern factor has the highest Cronbach alpha, 0.942. almost half of the patients aged 26-35 (42.2%) were female (56.3%), Class I in ASA physical status (50.2%), and living in a rural area (64.9%). For occupation, the majority of respondents were unemployed (89.2%). In addition, more than half of the respondents received general anaesthesia (60.6%). The most frequent procedure type was the gynaecology procedure (38%). Regarding an anaesthetist's visit, most respondents received a pre-operative anaesthetist visit (89.6%) and an anaesthetist approach (73.6%). However, the majority didn't receive adequate information, didn’t have a chance to choose the type of anaesthesia, and didn’t have an opportunity to ask a question, with percentages of 68%, 90%, and 95.2%, respectively. A significant and strong association existed between patient satisfaction and pre-operative anaesthetist visits (P<0.000).
CONCLUSION
Patient satisfaction with the pre-operative anaesthetic evaluation was the same compared with the Royal College of Anaesthetists standards. There is an association between pre-operative anaesthetist visits and patient satisfaction. Pre-operative anaesthetic evaluation should be emphasized.
Downloads
Metrics
References
Hepner DL, Bader AM, Hurwitz S, Gustafson M, Tsen LC. Patient Satisfaction with Pre-operative Assessment in a Pre-operative Assessment Testing Clinic. Anesth Analg [Internet]. 2004 [cited 2023 Aug 9];98(4):1099-105. Available from: https://journals.lww.com/anesthesia analgesia/Fulltext/2004/04000/Patient_Satisfaction_with_Preoperative_Assessment.41.aspx
Vyhunthan G, Aeshana De Silva NG. Senior Registrar 1 in Anaesthesiology, Medical Officer 2 in Anaesthesia and Intensive care. District General Hospital
White SM, Baldwin TJ. Consent for anaesthesia. Anaesthesia [Internet]. 2003 Aug 1 [cited 2023 Aug 9];58(8):760–74. Available from: https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2044.2003.03202.x
Caljouw MAA, Van Beuzekom M, Boer F. Patient's satisfaction with peri-operative care: Development, validation, and application of a questionnaire. Br J Anaesth [Internet]. 2008 May 1 [cited 2023 Aug 9];100(5):637–44. Available from: http://www.bjanaesthesia.org/article/S0007091217343301/fulltext
Baroudi DN, Nofal WH, Ahmad NA. Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale. Anesth Essays Res [Internet]. 2010 [cited 2023 Aug 9];4(2):85. Available from: /pmc/articles/PMC4173352/
Barnett SF, Alagar RK, Grocott MPW, Giannaris S, Dick JR, Moonesinghe SR. Patient-Satisfaction Measures in AnesthesiaQualitative Systematic Review. Anesthesiology [Internet]. 2013 Aug 1 [cited 2023 Aug 9];119(2):452–78
Tong D, Chung F, Wong D. Predictive Factors in Global and Anesthesia Satisfaction in Ambulatory Surgical Patients. Anesthesiology [Internet]. 1997 Oct 1 [cited 2023 Aug 9];87(4):856–64
Assefa F, Mosse A, Michael YH/. Assessment of Clients’ Satisfaction with Health Service Deliveries at Jimma University Specialized Hospital. Ethiop J Health Sci [Internet]. 2011 Aug 26 [cited 2023 Aug 9];21(2):101–10. Available from: https://www.ajol.info/index.php/ejhs/article/view/69050
Teshome D, Mulat Y, Fenta E, Hunie M, Kibret S, Tamire T, et al. Patient satisfaction and its associated factors towards peri-operative anesthesia service among surgical patients: A cross-sectional study. Heliyon. 2022 Mar 1;8(3):e09063
Ahmad I. Patient satisfaction with anesthesia care services and associated factors in AHQ Hospital Bajaur Agency, KP, Pakistan. Pure and Applied Biology. 2022 Jun 10;11(2)
Kouki P, Matsota P, Christodoulaki K, Kompoti M, Loizou M, Karamanis P, et al. Greek surgical patients' satisfaction related to peri-operative anesthetic services in an academic institute. Patient Prefer Adherence [Internet]. 2012 [cited 2023 Aug 9];6:569–78. Available from: https://pubmed.ncbi.nlm.nih.gov/22927750
Andemeskel YM, Elsholz T, Gebreyohannes G, Tesfamariam EH. Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: a cross sectional study in Eritrea. BMC health services research. 2019 Dec;19:1-8
Teshome D, Mulat Y, Fenta E, Hunie M, Kibret S, Tamire T, Fentie Y. Patient satisfaction and its associated factors towards perioperative anesthesia service among surgical patients: a cross-sectional study. Heliyon. 2022 Mar 1;8(3)
Cooray TCMGPG. Audit to evaluate the patients view, regarding the pre-operative visit of the patients by the anaesthetist. Sri Lankan Journal of Anaesthesiology [Internet]. 2011 [cited 2023 Aug 9];19(1):39–42
Shahzad S, Younas T. Clinical audit on quality of preanesthesia evaluation. Anaesthesia, Pain & Intensive Care. 2021 Oct 2;25(1):15-20
George SE, Rebekah G, Joselyn AS. An educational tool to improve patient perceptions on the roles of an anesthesiologist and the importance of pre-anesthetic evaluation: A quality initiative study. In The Indian Anaesthetists Forum 2020 Jul 1 (Vol. 21, No. 2, pp. 92-99)
Azer M, Chandrasekar N, Jacqueline J, Lai V, Yang JJ, Zhuo T, Dreux ML. Patient compliance with preoperative instructions prior to an elective procedure: A quality improvement audit. Anaesthesia and Intensive Care. 2023 May;51(3):226-8
Endale Simegn A, Yaregal Melesse D, Belay Bizuneh Y, Mekonnen Alemu W. Patient satisfaction survey on perioperative anesthesia service in University of Gondar comprehensive specialized hospital, Northwest Ethiopia, 2021. Anesthesiology research and practice. 2021 Oct 22;2021
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Salman Malik, Sana Ullah , Israr Hussain, Zahoor Rehman , Nouman Ahmad, Muhammad Tayyeb, Iftikhar Ud din
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.