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Greek surgical patients' satisfaction related to perioperative anesthetic services in an academic institute

机译：希腊一家外科学院的手术患者对围手术期麻醉服务的满意度

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Background: Patient satisfaction is an increasingly appreciated measure of outcome for health care procedures. The purpose of this study was to evaluate Greek surgical patients' satisfaction with perioperative anesthetic services and to determine which factors maximize satisfaction level through all phases of perioperative care.Methods: Adult Greek patients admitted for elective surgery in an academic hospital were included in the study. Three separate questionnaires were constructed: Q1 (patients who underwent general anesthesia alone or combined with epidural) and Q2 (patients who received regional anesthesia alone) covered perioperative anesthetic care; Q3 covered postoperative analgesia services in the ward (patient-controlled analgesia or epidural analgesia) provided by our anesthesiologist-centered analgesia care team. Principal component analysis with varimax rotation was used separately for each questionnaire, and extracted factors were entered into multiple logistic regression with patient satisfaction as the dependent binary variable. Statistical significance level was set at P < 0.05.Results: Three hundred and forty-five patients were included. Q1 questionnaire (answered by 282 patients) included four dimensions: communication with the anesthesiologist, sense of cold/shivering, pain, and nausea. Q2 questionnaire (answered by 63 patients) included three dimensions: communication with the anesthesiologist, sense of cold/shivering, and nausea/anxiety. Q3 questionnaire (answered by 237 patients) included five dimensions: anesthesiologist intervention upon symptoms, pain, care by the anesthesiologist/physical activity, nausea/vomiting, and anesthesiologist behavior. The communication dimension score in Q1 and Q2, sense of shivering in Q2, and pain management and anesthesiologist behavior dimension scores in Q3 were significantly associated with patient satisfaction. Overall satisfaction rates were high (according to the questionnaire, the observed percentage was in the range of 96.3%–98.6%).Conclusion: Greek surgical patients reported high satisfaction with perioperative anesthesia care. Interaction between patient and anesthesiologists during all periods of study, absence of shivering in regional anesthesia, and adequate postoperative pain control in the ward were significant predictors of patient satisfaction in the present Greek surgical population.
机译：背景：患者满意度是医疗保健过程中越来越令人赞赏的衡量结果的指标。这项研究的目的是评估希腊外科手术患者对围手术期麻醉服务的满意度，并确定哪些因素在围手术期护理的所有阶段中使满意度达到最高水平。 。构造了三个独立的问卷：第一季度（仅接受全身麻醉或联合硬膜外麻醉的患者）和第二季度（仅接受局部麻醉的患者）进行围手术期麻醉护理;第三季度涵盖由我们的以麻醉师为中心的镇痛护理团队提供的病房术后镇痛服务（患者自控镇痛或硬膜外镇痛）。每个问卷分别使用具有varimax旋转的主成分分析，并将提取的因素输入患者的满意度为因变量的多元逻辑回归中。统计学显着性水平设定为P <0.05。结果：纳入345例患者。 Q1问卷（由282名患者回答）包括四个维度：与麻醉师的沟通，感冒/发抖，疼痛和恶心的感觉。 Q2问卷（由63位患者回答）包括三个维度：与麻醉师的沟通，感冒/发抖和恶心/焦虑感。 Q3问卷（由237位患者回答）包括五个维度：麻醉师对症状，疼痛的干预，麻醉师/身体活动的护理，恶心/呕吐和麻醉师的行为。 Q1和Q2中的沟通维度得分，Q2中发抖的感觉以及Q3中疼痛管理和麻醉师行为维度得分与患者满意度显着相关。总体满意度很高（根据问卷调查，观察到的百分比范围为96.3％–98.6％）。结论：希腊外科患者对围手术期麻醉护理表示高度满意。在所有研究期间，患者与麻醉师之间的相互作用，区域麻醉中没有发抖，病房中术后疼痛得到充分控制，是目前希腊手术人群患者满意度的重要预测指标。

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