Effect of intraoperative anesthetic events on postoperative patient satisfaction

Effect of intraoperative anesthetic events on postoperative patient satisfaction
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DOI:
10.4065/72.1.20
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发表时间:
1997-01-01
影响因子:
8.9
通讯作者:
Offord, KP
Offord, KP
中科院分区:
医学2区
文献类型:
--
作者:
Brown, DL;Warner, ME;Offord, KP

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目的:评估围手术期和麻醉护理患者的总体满意度。设计:我们在术后向三组手术患者邮寄问卷(无并发症者、气道管理困难者、心血管系统紊乱者)进行分析。材料与方法:1993年1月至9月期间在我们的急诊医院接受医院外科手术的所有18至75岁的患者均符合本研究的条件。我们共询问了315名患者(三个研究组各105名)对围手术期护理的满意度。具体的积极或消极的意见,病人在他们的问卷调查返回表分为以下几个亚类:医生,护士,技术,时间和机构concerns.Results:在315份问卷发送给患者,239(75.9%)被退回。各组之间的总体患者满意度(定义为非常满意或非常满意和满意的组合)无差异。没有患者认为自己对整体护理不满意或非常不满意,尽管有一小部分患者因时间延误而表示不满意。具体的病人的意见表明,积极的互动与医生和护士超过了对时间delays.Conclusion的关注:这项研究表明,术中麻醉事件并不影响病人的满意度。与医生和护士的互动主导了关于病人满意度的决定,时间延迟是最常被引用的负面评论。
Objective: To assess overall perioperative and anesthetic care-specific patient satisfaction.Design: We mailed questionnaires postoperatively to three groups of surgical patients (those who underwent anesthesia without complications, those who experienced airway management difficulties, and those who had cardiovascular perturbations) and analyzed the responses.Material and Methods: All patients 18 to 75 years of age who underwent hospital-based surgical procedures in our acute-care hospitals during the interval from January to September 1993 were eligible for this investigation. We asked a total of 315 patients-105 in each of the three study groups-about their satisfaction with perioperative care. Specific positive or negative comments that the patients returned in their questionnaires were tabulated into the following subcategories: physician, nurse, technique, time, and institution concerns.Results: Of the 315 questionnaires sent to patients, 239 (75.9%) were returned. No difference in overall patient satisfaction (defined as very satisfied or a combination of very satisfied and satisfied) was noted among the groups. No patients identified themselves as dissatisfied or very dissatisfied with their overall care, although a small percentage expressed dissatisfaction because of time delays. The specific patient comments suggested that the positive interactions with physicians and nurses outweighed the concerns about time delays.Conclusion: This study showed that intraoperative anesthetic events did not affect patient satisfaction. Interactions with physicians and nurses dominated the decision about patient satisfaction, and time delays were the most frequently cited negative comment.