Abstract
Introduction: Patient satisfaction is a key indicator of healthcare quality. Perioperative anesthesia care remains poorly studied in low-resource settings. This study assessed patient satisfaction with perioperative anesthesia care and its associated factors at Devdaha Medical College, Nepal.
Methods: A cross-sectional study was conducted among 161 adult surgical patients. Data were collected using the validated Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq) translated into Nepali. Satisfaction was assessed across three dimensions: information, fear and concern, and staff-patient relationship. Because LPPSq scores were non-normally distributed, Mann–Whitney U, Kruskal–Wallis, and Spearman correlation tests were used for testing associations with demographic and clinical variables.
Results: Overall, 98.76% of patients were satisfied with perioperative anesthesia care. The staff-patient relationship dimension achieved the highest satisfaction rate (98.76%), followed by fear and concern (95.65%) and information (93.79%). Gender (p=0.019) and adherence to the agreed surgical schedule (all p<0.05) were significantly associated with satisfaction. Waiting time before surgery and in the recovery room was significantly associated with information, staff-patient relationship, and overall satisfaction, but not with the fear and concern domain. Postoperative pain showed the strongest negative correlation with overall satisfaction. Thirst was the only adverse outcome significantly associated with anesthesia type.
Conclusion: Patients reported high overall satisfaction with perioperative anesthesia care. Timely scheduling, optimal waiting time management, and effective pain control were associated with higher patient satisfaction and may represent targets for quality improvement.
Supplementary Files
References
1 Moonesinghe SR, Walker EM, Bell M; SNAP-1 Investigator Group. Design and methodology of SNAP-1: a Sprint National Anaesthesia Project to measure patient reported outcome after anaesthesia. Perioper Med (Lond). 2015;4(0):4. PMID: 25949810 DOI: https://doi.org/10.1186/s13741-015-0011-2
2 Ghosh S. An analytical study on patients satisfaction and medical facilities provided by public hospital: with special reference to Dhubri Civil Hospital, Jhagrarpar. International Journal of Healthcare Sciences. 2014;2(1):107-15. Available from: https://www.researchpublish.com/issue/IJHS/Issue-1-April-2014-September-2014
3 Gempeler FE, Avellaneda MV. Evaluation of patient satisfaction and recovery time following different anesthetic techniques at the San Ignacio University Hospital. Colombian Journal of Anesthesiology. 2010;38(2):178-202. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/575
4 Auquier P, Pernoud N, Bruder N, Simeoni MC, Auffray JP, Colavolpe C, et al. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005;102(6):1116-23. PMID: 15915023 DOI: https://doi.org/10.1097/00000542-200506000-00010
5 Afzal M, Rizvi F, Azad AH, Rajput AM, Khan A, Tariq N. Effect of demographic characteristics on patient's satisfaction with health care facility. Journal of Postgraduate Medical Institute. 2014;28(2):154-60. Available from: https://www.researchgate.net/publication/282718045
6 Myles PS, Reeves MD, Anderson H, Weeks AM. Measurement of quality of recovery in 5672 patients after anaesthesia and surgery. Anaesthesia and Intensive Care. 2000;28(3):276–80. Available from: https://journals.sagepub.com/doi/epdf/10.1177/0310057X0002800304
7 Institute of Medicine. Crossing the quality chasm: A new health care system for the 21st century [Internet]. Washington (DC): National Academy Press; 2001. Available from: https://chiro.org/Graphics_Box_COLLECTION/Crossing_the_Quality_Chasm.pdf
8 Caljouw MAA, van Beuzekom M, Boer F. Patient's satisfaction with perioperative care: development, validation, and application of a questionnaire. Br J Anaesth. 2008;100(5):637-44. PMID: 18337271 DOI: https://doi.org/10.1093/bja/aen034
9 Simegn AE, Melesse DY, Bizuneh YB, Alemu WM. Patient satisfaction survey on perioperative anesthesia service in University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021. Anesthesiol Res and Pract. 2021;2021(0):3379850. PMID: 34721572 DOI: https://doi.org/10.1155/2021/3379850
10 Iloh GU, Ofoedu JN, Njoku PU, Odu FU, Ifedigbo CV, Iwuamanam KD. Evaluation of patients' satisfaction with quality of care provided at the National Health Insurance Scheme clinic of a tertiary hospital in South- Eastern Nigeria. Niger J Clin Pract. 2012;15(4):469-74. PMID: 23238200 DOI: https://doi.org/10.4103/1119-3077.104529
11 Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002;6(32):1-244. PMID: 12925269 DOI: https://doi.org/10.3310/hta6320
12 Fregene T, Wintle S, Venkat Raman V, Edmond H, Rizvi S. Making the experience of elective surgery better. BMJ Open Qual. 2017;6(2):e000079. PMID: 28959782 DOI: https://doi.org/10.1136/bmjoq-2017-000079
13 Walker JA. What is the effect of preoperative information on patient satisfaction? Br J Nurs. 2007;16(1):27-32. PMID: 17353832 DOI: https://doi.org/10.12968/bjon.2007.16.1.22712
14 Lemos P, Pinto A, Morais G, Pereira J, Loureiro R, Teixeira S, Nunes CS. Patient satisfaction following day surgery. J Clin Anesth. 2009;21(3):200-5. PMID: 19464614 DOI: https://doi.org/10.1016/j.jclinane.2008.08.016
15 Street RL Jr, Gordon H, Haidet P. Physicians' communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Soc Sci Med. 2007;65(3):586-98. PMID: 17462801 DOI: https://doi.org/10.1016/j.socscimed.2007.03.036
16 Viftrup A, Laustsen S, Pahle ML, Dreyer P, Nikolajsen L. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. BMJ Open. 2024 ;14(11):e082807. PMID: 39500606 DOI: https://doi.org/10.1136/bmjopen-2023-082807
17 Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health. 2017;137(2):89-101. PMID: 27004489 DOI: https://pubmed.ncbi.nlm.nih.gov/27004489/
18 Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Søreide E,et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(8):556-69. PMID: 21712716 DOI: https://doi.org/10.1097/eja.0b013e3283495ba1
19 Gan TJ, Diemunsch P, Habib AS, Kovac A, Kranke P, Meyer TA, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2014;118(1):85-113. PMID: 24356162 DOI: https://doi.org/10.1213/ane.0000000000000002
20 Sessler DI. Perioperative heat balance. Anesthesiology. 2000;92(2):578-96. PMID: 10691247 DOI: https://doi.org/10.1097/00000542-200002000-00042
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