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

Authors : Ömer Faruk BORAN, Osman GÜNAY, Ali Eray GÜNAY, Maruf BORAN, Bora BİLAL, Murat BAKACAK, Fatih Mehmet YAZAR, Hasan DOLU, Mehmet Bugra BOZAN, Hilal BİRADLİ

Pages : 401-409

Doi:10.33808/clinexphealthsci.1136625

View : 32 | Download : 11

Publication Date : 2022-06-30

Article Type : Research Paper

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: insert ignore into journalissuearticles values(1); age >18 years, insert ignore into journalissuearticles values(2); received regional anesthesia, insert ignore into journalissuearticles values(3); ASA-PS score of ≤ 3, and insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p<0.001);. In the comparisons of the subscale points of the EVAN-LR points of attention insert ignore into journalissuearticles values(58.2±34.5);, information insert ignore into journalissuearticles values(57.6±31.8);, discomfort insert ignore into journalissuearticles values(41.1±31.8);, waiting insert ignore into journalissuearticles values(45.4±36.4); and pain insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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