Patient satisfaction in ambulatory anesthesia assessed by the Heidelberg Peri-anaesthetic Questionnaire: a cross-sectional study
Satisfação do paciente em anestesia ambulatorial avaliada pelo Questionário Perianestésico de Heidelberg: um estudo transversal
Jeconias Neiva Lemos, Lavínia Dantas Cardoso Neiva Lemos, Davi Jorge Fontoura Solla, Danilo Dantas Cardoso Neiva Lemos, Norma Sueli Pinheiro Módolo
Abstract
Background
Service quality in anesthesiology has been frequently measured by morbidity and mortality. This measure increasingly considers patient satisfaction, which is the result of care from the client's perspective. Therefore, anesthesiologists must be able to build relationships with patients, provide understandable information and involve them in decisions about their anesthesia. This study aimed to evaluate the peri-anesthetic care provided by the anesthesia service in an ambulatory surgery unit using the Heidelberg Peri-anaesthetic Questionnaire.
Methods
This cross-sectional study used the Heidelberg Peri-anaesthetic Questionnaire to evaluate 1211 patients undergoing ambulatory surgery. We selected questions that showed a greater degree of dissatisfaction and correlated them with patient characterization data (age, sex, education, and ASA physical status), anesthesia data (type, time, and prior experience), and surgical specialty.
Results
Questions in which patients tended to show dissatisfaction involved fear of anesthesia and surgery, feeling cold, the urgent need to urinate, pain at the surgical site, and the team's level of concern and speed of response in relieving the patient's pain.
Conclusion
The Heidelberg Peri-anaesthetic Questionnaire proved to be a useful tool in identifying points of dissatisfaction, mainly fear of anesthesia and surgery, feeling cold, the urgent need to urinate, pain at the surgical site, and the team's level of concern and speed of response in relieving the patient's pain in the population studied. These were correlated with patient, anesthesia, and surgical variables. This allows the establishment of priorities at the different points of care, with the ultimate goal of improving patient satisfaction regarding anesthesia care.
Keywords
Resumo
Introdução
A qualidade do serviço em anestesiologia tem sido frequentemente medida por morbidade e mortalidade. Essa medida considera cada vez mais a satisfação do paciente, que é o resultado do cuidado na perspectiva do cliente. Portanto, os anestesiologistas devem ser capazes de construir relacionamentos com os pacientes, fornecer informações compreensíveis e envolvê-los nas decisões sobre sua anestesia. Este estudo teve como objetivo avaliar os cuidados perianestésicos prestados pelo serviço de anestesia em uma unidade de cirurgia ambulatorial por meio do Questionário Perianestésico de Heidelberg.
Métodos
Este estudo transversal utilizou o Questionário Perianestésico de Heidelberg para avaliar 1.211 pacientes submetidos a cirurgia ambulatorial. Selecionamos as questões que apresentaram maior grau de insatisfação e as correlacionamos com dados de caracterização do paciente (idade, sexo, escolaridade e estado físico ASA), dados da anestesia (tipo, tempo e experiência prévia) e especialidade cirúrgica.
Resultados
As questões em que os pacientes tendiam a demonstrar insatisfação envolviam medo da anestesia e da cirurgia, sensação de frio, necessidade urgente de urinar, dor no local da cirurgia, grau de preocupação e rapidez de resposta da equipe em aliviar a dor do paciente.
Conclusão
O Questionário Perianestésico de Heidelberg mostrou-se uma ferramenta útil na identificação de pontos de insatisfação, principalmente medo da anestesia e da cirurgia, sensação de frio, necessidade urgente de urinar, dor no local da cirurgia, grau de preocupação da equipe e rapidez de resposta no alívio da dor do paciente na população estudada. Estes foram correlacionados com o paciente, anestesia e variáveis cirúrgicas. Isso permite estabelecer prioridades nos diferentes pontos de atendimento, com o objetivo final de melhorar a satisfação do paciente em relação aos cuidados anestésicos.
Palavras-chave
References
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Submitted date:
04/26/2021
Accepted date:
12/12/2021
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