Factors affecting perioperative patient satisfaction with regional anesthesia: A patient-centered survey study

Year 2022, Volume: 12 Issue: 2, 401 - 409, 30.06.2022

Ömer Faruk Boran Osman Günay Ali Eray Günay Maruf Boran Bora Bilal Murat Bakacak Fatih Mehmet Yazar Hasan Dolu Mehmet Bugra Bozan Hilal Biradli

https://doi.org/10.33808/clinexphealthsci.1136625

Abstract

Objective: To determine the demographic and clinical characteristics that affect patient satisfaction with regional anesthesia.
Methods: This study was conducted at Kahramanmaras Sutcu Imam University Hospital between June-July 2019. The patients were included on a voluntary basis and all had undergone obstetrics, urology, orthopedics, or general surgery, and met the following inclusion criteria: (1) age >18 years, (2) received regional anesthesia, (3) ASA-PS score of ≤ 3, and (4) no cognitive problem that would prevent self-expression. A Personal Information Form and the Evaluation of the Experience of Regional Anesthesia Questionnaire were applied to 402 patients at 48 hours after surgery performed under regional anesthesia in a university hospital in Turkey.
Results: The EVAN-LR total scores were 71.2±15.6 in obstetrics patients, followed by 54.9±24.9 in orthopedic patients, 26.6±24.4 in urology patients and 15.9±7.2 in general surgery patients (p<0.001). In the comparisons of the subscale points of the EVAN-LR points of attention (58.2±34.5), information (57.6±31.8), discomfort (41.1±31.8), waiting (45.4±36.4) and pain (36.5±32.7), the lowest mean scores of EVAN-LR were seen to be in the subscale of pain. The total mean scores of males were determined to be higher than those of females (p<0.05). The EVAN-LR total scores of the patients administered with premedication were statistically significantly higher than those of the patients who did not receive premedication (p<0.001). According to the multiple linear regression model, the best predictive variables for patient satisfaction with regional anesthesia were gender, history of anesthesia, and premedication.
Conclusions: The results of this study showed that the satisfaction with the regional anesthesia service of the participants was at a moderate level. This indicates the need to educate the anesthesia team to increase patient satisfaction with regional anesthesia, especially in respect of postoperative pain management.

Keywords

patient-centred surgery, patient satisfaction, perioperative satisfaction, regional anesthesia

References

• [1] Shah U, Wong DT, Wong J. Patient satisfaction and positive patient outcomes in ambulatory anesthesia. Ambul Anesth 2015; 2: 29-31.
• [2] Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med 2001;26:196–208.
• [3] Kingsley C, Patel S. Patient-reported outcome measures and patient-reported experience measures. BJA Education 2017;17:137–144.
• [4] Droog W, Hoeks SE, Van Aggelen GP, Lin DY, Coert JH, Stolker RJ, et al. Regional anesthesia is associated with less patient satisfaction compared to general anesthesia following distal upper extremity surgery: a prospective double centred observational study. BMC Anesthesiology 2019;19:115.
• [5] Macdonald N, Obrien S. Patient satisfaction and experience with anesthesia. Available at: http://www.aqihq.org/files/ASA_Member¬ship_Patient_Satisfaction.pdf. Accessed October 29, 2019.
• [6] Maurice-Szamburski A, Bruder N, Loundou A, Capdevila X, Auquier P. Development and validation of a perioperative satisfaction questionnaire in regional anesthesia. Anesthesiology 2013;118:78–87.
• [7] Walker EMK, Bell M, Cook TM, Grocott MPW, Moonesinghe SR; Central SNAP-1 Organisation; National Study Groups. Patient reported outcome of adult perioperative anesthesia in the United Kingdom: a cross-sectional observational study. Bri J Anaesth 2016;117:758–766.
• [8] Teunkens A, Vanhaecht K, Vermeulen K, Fieuws S, Van de Velde M, Rex S, et al. Measuring satisfaction and anesthesia related outcomes in a surgical day care centre: a three-year single-centre observational study. J Clin Anesth 2017;43:15–23.
• [9] 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 Serv Res 2019;19:669.
• [10] Saal D, Heidegger T, Nuebling M, Germann R. Does a postoperative visit increase patient satisfaction with anesthesia care? Bri J Anaesth 2011;107:703–709.
• [11] Gilmartin J, Wright K. Day surgery: patients’ felt abandoned during the preoperative wait. J Clin Nurs 2008;17:2418–2425.
• [12] Mui W-C, Chang C-M, Cheng K-F, Lee TY, Ng KO, Tsao KR, et al. Development and validation of the questionnaire of satisfaction with perioperative anesthetic care for general and regional anesthesia in Taiwanese patients. Anesthesiology 2011;114(5):1064–1075.
• [13] Barnett SF, Alagar RK, Grocott MPW, Giannaris S, Dick JR, Moonesinghe SR. Patient-satisfaction measures in anesthesia: qualitative systematic review. Anesthesiology 2013;119(2):452–478.
• [14] Caljouw MA, van Beuzekom M, Boer F. Patient’s satisfaction with perioperative care: development, validation, and application of a questionnaire. Bri J Anaesth 2008;100:637–644.
• [15] Siu E, Quick JS, Xu X, Correll DJ. Evaluation of the determinates of satisfaction with postoperative pain control after thoracoscopic surgery: a single-center, survey-based study. Anesth Analg 2019;128:555–562.
• [16] Maurice-Szamburski A, Auquier P, Viarre-Oreal V, Carles M, Ripart J, et al. Effect of sedative premedication on patient experience after general anesthesia: a randomized clinical trial. JAMA 2015;313:916-925.
• [17] Boran ÖF, Korukcu O. Validation of a perioperative satisfaction questionnaire in regional anaesthesia: A psychometric study. J Clin Anesth 2020; 66: 109947-109947.
• [18] Hoslin L, Motamed C, Maurice-Szamburski A, Legoupil C, Pons S, Bordenave L. Impact of hypnosis on patient experience after venous access port implantation. Anaesth Crit Care Pain Med 2019;38:609-613.
• [19] Courtot L, Ferre F, Reina N, Marot V, Chiron P, Berard E, Cavaignac E. Patient participation during anterior cruciate ligament reconstruction improves comprehension, satisfaction, and functional outcomes: A simple way to improve our practices. Orthop J Sports Med 2019;7:1-9.
• [20] Fang J, Liu L, Fang P. What is the most important factor affecting patient satisfaction–a study based on gamma coefficient. Patient Prefer Adherence 2019;13:515-525.
• [21] Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur 2009;22(4):366-381.
• [22] Ironfield CM, Barrington MJ, Kluger R, Sites B. Are patients satisfied after peripheral nerve blockade? Results from an International Registry of Regional Anesthesia. Reg Anesth Pain Med 2014;39(1):48-55.
• [23] Benwu KM, Gebremedhin HG. A prospective study on elective surgical inpatient satisfaction with perioperative anesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia. BMC Anesthesiol 2019; 19:46.
• [24] Akpınar VT, Van Koroğlu L, Aytuluk HG. Evaluation of factors associated with patient satisfaction and mood-state in regional anesthesia. Pain 2019;31(2):57–62.
• [25] O'Donnell BD, Iohom G. Regional anesthesia techniques for ambulatory orthopedic surgery. Curr Opin Anesthesiol 2008;21(6):723-728.
• [26] Farooq F, Khan R, Ahmed A. Assessment of patient satisfaction with acute pain management service: Monitoring quality of care in clinical setting. Indian J Anaesth. 2016;60:248.
• [27] Walsh S, O’Neill A, Hannigan A, Harmon D. Patient-rated physician empathy and patient satisfaction during pain clinic consultations. Iran J Med Sci 2019;188:1379-1384.
• [28] Soltner C, Giquello JA, Monrigal-Martin C, Beydon L. Continuous care and empathic anaesthesiologist attitude in the preoperative period: Impact on patient anxiety and satisfaction. Br J Anaesth. 2011;106:680–686.
• [29] American Society of Anesthesiologist. Patient satisfaction and experience with anesthesia. http://www.aqihq.org/files/ASA_Membership_Patient_Satisfaction.pdf; 2020 Accessed 20 November 2020.