Outcome Assessment, Patient Satisfaction
Conditions
Keywords
Outcome Assessment (Health Care), Patient Satisfaction, Perioperative Period, Regional Anesthesia, Surveys and Questionnaires
Brief summary
Patient satisfaction is an important subjective measure of healthcare quality which contributes to evaluation of the structure, process and outcome of services. The key factor in patient satisfaction is adequate perioperative information of the patient and communication between healthcare providers and patient or patient's kin. There are few studies in anesthesia that have assessed patient satisfaction and mood-state during regional anesthesia. The investigators aimed to evaluate factors associated with patient satisfaction from regional anesthesia procedure and mood-state of patients who underwent surgery under regional anesthesia.
Detailed description
Patient satisfaction is an important subjective measure of healthcare quality which contributes to evaluation of the structure, process and outcome of services. Many factors contribute to patient satisfaction, including institutional structure, interpersonal relationships, and a patient' expectations. Age, gender, social insurance, educational and social statue also play role in patient satisfaction. The key factor in patient satisfaction is adequate perioperative information of the patient and communication between healthcare providers and patient or patient's kin. The success of regional anesthesia is influenced by several factors. Most patients expect uneventful perioperative process. Nevertheless, recovery from surgery and anesthesia is sometimes complicated by major and minor complaints including pain, nausea, vomiting and other. Although there is no scientific or clinical evidence that regional anesthesia is superior to general anesthesia, regional anesthesia has some advantages like keeping consciousness of the patient during surgery, continuation of spontaneous breathing, avoiding the loss of protective reflexes, allowing early mobilization in the postoperative period and shortening the length of hospital stay. However, the major contraindication for regional anesthesia is the patient's unwillingness. There are few studies in anesthesia that have assessed patient satisfaction and mood-state during regional anesthesia. The investigators aimed to evaluate factors associated with patient satisfaction from regional anesthesia procedure and mood-state of patients who underwent surgery under regional anesthesia.
Interventions
OTHERQuestionnaire
Postoperative questionnaire, and records of complications in the peri-operative period
Sponsors
Derince Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
\- patients who underwent gynecological and obstetrical, urological, orthopedic and general surgical procedures under general anesthesia
Exclusion criteria
\- clinically significant psychiatrically ill illiterate patients who received general anesthesia patients that have speech, hearing, or understanding problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Patient Satisfaction | 1 day (peri-operative) | satisfaction of patients during regional anesthesia (patients will be handed a questionnaire about their satisfaction in recovery room or in ward. They will be able to mark only one option: satisfaction, dissatisfaction) |
| Overall Mood-state | 1 day | mood-state of patients during regional anesthesia (patients will be handed a questionnaire about their mood-state in recovery room or in ward. They will be able to mark more than one option about their mood-state: safe, unsafe, comfortable, exited, anxious) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction According to Education | 1 day | patient satisfaction from regional anesthesia according to their highest level of education received. |
| Patient Satisfaction According to the Type of Surgery | 1 day | patient satisfaction according to the type of surgery under regional anesthesia |
| Patient Satisfaction According to Past Regional Anesthesia Experience | 1 day | patient satisfaction according to past regional anesthesia experience under regional anesthesia |
| Patient Satisfaction According to Preoperative Information | 1 day | Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.) |
| Patient Satisfaction According to Intra-operative Adverse Events | 1 day | patient satisfaction according to intra-operative adverse events under regional anesthesia |
| Patient Satisfaction According to Age | 1 day (postoperative) | patient satisfaction according to age under regional anesthesia |
| Mood State According to Age | 1 day | Patients' mood state according to age |
| Mood State According to Gender | 1 day | Patients' mood state according to gender |
| Mood State According to Education | 1 day | Patients' mood state according to their highest degree of education received |
| Mood State According to Preoperative Information | 1 day | Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.) |
| Patient Satisfaction According to Recovery Room Adverse Events | 1 day | patient satisfaction according to recovery room adverse events following surgery under regional anesthesia |
| Patient Satisfaction According to Gender | 1 day | patient satisfaction according to gender under regional anesthesia |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Regional patients who underwent surgery under regional anesthesia.
Questionnaire: Postoperative questionnaire, and records of complications in the peri-operative period | 300 |
| Total | 300 |
Baseline characteristics
| Characteristic | Regional | — |
|---|---|---|
| Age, Categorical <=18 years | 0 Participants | — |
| Age, Categorical >=65 years | 26 Participants | — |
| Age, Categorical Between 18 and 65 years | 274 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 108 Participants | — |
| Sex: Female, Male Male | 192 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 300 |
| other Total, other adverse events | 0 / 300 |
| serious Total, serious adverse events | 85 / 300 |
Outcome results
Primary
Overall Mood-state
mood-state of patients during regional anesthesia (patients will be handed a questionnaire about their mood-state in recovery room or in ward. They will be able to mark more than one option about their mood-state: safe, unsafe, comfortable, exited, anxious)
Time frame: 1 day
Population: Patients were able to mark more than one option in the part of the questionnaire about mood-state: safe, unsafe, comfortable, exited, anxious. If patient was heavily sedated and too confused to participate, the questionnaire was handed at the ward after recovery.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Satisfaction | Overall Mood-state | 137 Participants |
| Dissatisfaction | Overall Mood-state | 20 Participants |
| Comfortable | Overall Mood-state | 109 Participants |
| Excited | Overall Mood-state | 115 Participants |
| Anxious | Overall Mood-state | 67 Participants |
Primary
Overall Patient Satisfaction
satisfaction of patients during regional anesthesia (patients will be handed a questionnaire about their satisfaction in recovery room or in ward. They will be able to mark only one option: satisfaction, dissatisfaction)
Time frame: 1 day (peri-operative)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Satisfaction | Overall Patient Satisfaction | 247 Participants |
| Dissatisfaction | Overall Patient Satisfaction | 53 Participants |
Secondary
Mood State According to Age
Patients' mood state according to age
Time frame: 1 day
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Mood State According to Age | 26-35 | 16 Participants |
| Satisfaction | Mood State According to Age | 66-75 | 13 Participants |
| Satisfaction | Mood State According to Age | 36-45 | 42 Participants |
| Satisfaction | Mood State According to Age | 56-65 | 24 Participants |
| Satisfaction | Mood State According to Age | 46-55 | 36 Participants |
| Satisfaction | Mood State According to Age | 18-25 | 6 Participants |
| Dissatisfaction | Mood State According to Age | 36-45 | 5 Participants |
| Dissatisfaction | Mood State According to Age | 66-75 | 2 Participants |
| Dissatisfaction | Mood State According to Age | 26-35 | 5 Participants |
| Dissatisfaction | Mood State According to Age | 18-25 | 0 Participants |
| Dissatisfaction | Mood State According to Age | 46-55 | 5 Participants |
| Dissatisfaction | Mood State According to Age | 56-65 | 3 Participants |
| Comfortable | Mood State According to Age | 26-35 | 11 Participants |
| Comfortable | Mood State According to Age | 36-45 | 32 Participants |
| Comfortable | Mood State According to Age | 18-25 | 8 Participants |
| Comfortable | Mood State According to Age | 46-55 | 24 Participants |
| Comfortable | Mood State According to Age | 66-75 | 10 Participants |
| Comfortable | Mood State According to Age | 56-65 | 24 Participants |
| Excited | Mood State According to Age | 26-35 | 26 Participants |
| Excited | Mood State According to Age | 46-55 | 19 Participants |
| Excited | Mood State According to Age | 36-45 | 34 Participants |
| Excited | Mood State According to Age | 18-25 | 12 Participants |
| Excited | Mood State According to Age | 66-75 | 7 Participants |
| Excited | Mood State According to Age | 56-65 | 17 Participants |
| Anxious | Mood State According to Age | 66-75 | 4 Participants |
| Anxious | Mood State According to Age | 18-25 | 5 Participants |
| Anxious | Mood State According to Age | 26-35 | 16 Participants |
| Anxious | Mood State According to Age | 36-45 | 22 Participants |
| Anxious | Mood State According to Age | 46-55 | 10 Participants |
| Anxious | Mood State According to Age | 56-65 | 10 Participants |
Secondary
Mood State According to Education
Patients' mood state according to their highest degree of education received
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Mood State According to Education | Junior high school | 16 Participants |
| Satisfaction | Mood State According to Education | Primary school | 64 Participants |
| Satisfaction | Mood State According to Education | University | 26 Participants |
| Satisfaction | Mood State According to Education | High school | 31 Participants |
| Dissatisfaction | Mood State According to Education | Primary school | 10 Participants |
| Dissatisfaction | Mood State According to Education | Junior high school | 1 Participants |
| Dissatisfaction | Mood State According to Education | High school | 7 Participants |
| Dissatisfaction | Mood State According to Education | University | 2 Participants |
| Comfortable | Mood State According to Education | High school | 21 Participants |
| Comfortable | Mood State According to Education | Junior high school | 15 Participants |
| Comfortable | Mood State According to Education | University | 16 Participants |
| Comfortable | Mood State According to Education | Primary school | 57 Participants |
| Excited | Mood State According to Education | Junior high school | 15 Participants |
| Excited | Mood State According to Education | Primary school | 47 Participants |
| Excited | Mood State According to Education | University | 16 Participants |
| Excited | Mood State According to Education | High school | 37 Participants |
| Anxious | Mood State According to Education | University | 10 Participants |
| Anxious | Mood State According to Education | Primary school | 32 Participants |
| Anxious | Mood State According to Education | High school | 14 Participants |
| Anxious | Mood State According to Education | Junior high school | 11 Participants |
Secondary
Mood State According to Gender
Patients' mood state according to gender
Time frame: 1 day
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Mood State According to Gender | Female | 45 Participants |
| Satisfaction | Mood State According to Gender | Male | 92 Participants |
| Dissatisfaction | Mood State According to Gender | Female | 8 Participants |
| Dissatisfaction | Mood State According to Gender | Male | 12 Participants |
| Comfortable | Mood State According to Gender | Female | 33 Participants |
| Comfortable | Mood State According to Gender | Male | 76 Participants |
| Excited | Mood State According to Gender | Male | 67 Participants |
| Excited | Mood State According to Gender | Female | 48 Participants |
| Anxious | Mood State According to Gender | Female | 28 Participants |
| Anxious | Mood State According to Gender | Male | 39 Participants |
Secondary
Mood State According to Preoperative Information
Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.)
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Mood State According to Preoperative Information | yes | 134 Participants |
| Satisfaction | Mood State According to Preoperative Information | no | 3 Participants |
| Dissatisfaction | Mood State According to Preoperative Information | yes | 17 Participants |
| Dissatisfaction | Mood State According to Preoperative Information | no | 3 Participants |
| Comfortable | Mood State According to Preoperative Information | yes | 106 Participants |
| Comfortable | Mood State According to Preoperative Information | no | 3 Participants |
| Excited | Mood State According to Preoperative Information | no | 5 Participants |
| Excited | Mood State According to Preoperative Information | yes | 110 Participants |
| Anxious | Mood State According to Preoperative Information | yes | 60 Participants |
| Anxious | Mood State According to Preoperative Information | no | 7 Participants |
Secondary
Patient Satisfaction According to Age
patient satisfaction according to age under regional anesthesia
Time frame: 1 day (postoperative)
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Age | 18-25 | 23 Participants |
| Satisfaction | Patient Satisfaction According to Age | 26-35 | 30 Participants |
| Satisfaction | Patient Satisfaction According to Age | 36-45 | 77 Participants |
| Satisfaction | Patient Satisfaction According to Age | 46-55 | 54 Participants |
| Satisfaction | Patient Satisfaction According to Age | 56-65 | 41 Participants |
| Satisfaction | Patient Satisfaction According to Age | 66-75 | 22 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 56-65 | 10 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 18-25 | 1 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 46-55 | 10 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 26-35 | 16 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 66-75 | 4 Participants |
| Dissatisfaction | Patient Satisfaction According to Age | 36-45 | 12 Participants |
Secondary
Patient Satisfaction According to Education
patient satisfaction from regional anesthesia according to their highest level of education received.
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Education | Primary school | 112 Participants |
| Satisfaction | Patient Satisfaction According to Education | Junior high school | 32 Participants |
| Satisfaction | Patient Satisfaction According to Education | High school | 59 Participants |
| Satisfaction | Patient Satisfaction According to Education | University | 44 Participants |
| Dissatisfaction | Patient Satisfaction According to Education | University | 6 Participants |
| Dissatisfaction | Patient Satisfaction According to Education | Primary school | 24 Participants |
| Dissatisfaction | Patient Satisfaction According to Education | High school | 15 Participants |
| Dissatisfaction | Patient Satisfaction According to Education | Junior high school | 8 Participants |
Secondary
Patient Satisfaction According to Gender
patient satisfaction according to gender under regional anesthesia
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Gender | Female | 83 Participants |
| Satisfaction | Patient Satisfaction According to Gender | Male | 164 Participants |
| Dissatisfaction | Patient Satisfaction According to Gender | Female | 25 Participants |
| Dissatisfaction | Patient Satisfaction According to Gender | Male | 28 Participants |
Secondary
Patient Satisfaction According to Intra-operative Adverse Events
patient satisfaction according to intra-operative adverse events under regional anesthesia
Time frame: 1 day
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Hypotension | 61 number of experienced adverse events |
| Satisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Bradycardia | 22 number of experienced adverse events |
| Satisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Nausea-vomiting | 36 number of experienced adverse events |
| Satisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Pain | 4 number of experienced adverse events |
| Dissatisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Pain | 9 number of experienced adverse events |
| Dissatisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Hypotension | 11 number of experienced adverse events |
| Dissatisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Nausea-vomiting | 12 number of experienced adverse events |
| Dissatisfaction | Patient Satisfaction According to Intra-operative Adverse Events | Bradycardia | 5 number of experienced adverse events |
Secondary
Patient Satisfaction According to Past Regional Anesthesia Experience
patient satisfaction according to past regional anesthesia experience under regional anesthesia
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Past Regional Anesthesia Experience | yes | 115 Participants |
| Satisfaction | Patient Satisfaction According to Past Regional Anesthesia Experience | no | 132 Participants |
| Dissatisfaction | Patient Satisfaction According to Past Regional Anesthesia Experience | yes | 15 Participants |
| Dissatisfaction | Patient Satisfaction According to Past Regional Anesthesia Experience | no | 38 Participants |
Secondary
Patient Satisfaction According to Preoperative Information
Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.)
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Preoperative Information | yes | 241 Participants |
| Satisfaction | Patient Satisfaction According to Preoperative Information | no | 6 Participants |
| Dissatisfaction | Patient Satisfaction According to Preoperative Information | yes | 44 Participants |
| Dissatisfaction | Patient Satisfaction According to Preoperative Information | no | 9 Participants |
Secondary
Patient Satisfaction According to Recovery Room Adverse Events
patient satisfaction according to recovery room adverse events following surgery under regional anesthesia
Time frame: 1 day
| Arm | Measure | Group | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Hypotension | 26 adverse events |
| Satisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Bradycardia | 30 adverse events |
| Satisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Nausea-vomiting | 14 adverse events |
| Satisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Pain | 28 adverse events |
| Dissatisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Pain | 4 adverse events |
| Dissatisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Hypotension | 4 adverse events |
| Dissatisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Nausea-vomiting | 5 adverse events |
| Dissatisfaction | Patient Satisfaction According to Recovery Room Adverse Events | Bradycardia | 6 adverse events |
Secondary
Patient Satisfaction According to the Type of Surgery
patient satisfaction according to the type of surgery under regional anesthesia
Time frame: 1 day
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Satisfaction | Patient Satisfaction According to the Type of Surgery | General | 56 Participants |
| Satisfaction | Patient Satisfaction According to the Type of Surgery | Orthopedic | 51 Participants |
| Satisfaction | Patient Satisfaction According to the Type of Surgery | Gynecology & obstetric | 38 Participants |
| Satisfaction | Patient Satisfaction According to the Type of Surgery | Urology | 102 Participants |
| Dissatisfaction | Patient Satisfaction According to the Type of Surgery | Urology | 12 Participants |
| Dissatisfaction | Patient Satisfaction According to the Type of Surgery | General | 16 Participants |
| Dissatisfaction | Patient Satisfaction According to the Type of Surgery | Gynecology & obstetric | 16 Participants |
| Dissatisfaction | Patient Satisfaction According to the Type of Surgery | Orthopedic | 9 Participants |