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

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