Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.12.003
Brazilian Journal of Anesthesiology
Original Investigation

Patient satisfaction in ambulatory anesthesia assessed by the Heidelberg Peri-anaesthetic Questionnaire: a cross-sectional study

Jeconias Neiva Lemos, Lavínia Dantas Cardoso Neiva Lemos, Davi Jorge Fontoura Solla, Danilo Dantas Cardoso Neiva Lemos, Norma Sueli Pinheiro Módolo

Downloads: 0
Views: 79

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

Ambulatory surgical procedures; Patient satisfaction; Perioperative care; Professional-patient relations; Quality management; Surveys and questionnaires

References

1. Donabedian A. The Components of Quality in Health Care editor. In: Bashshur R, ed. An Introduction to Quality Assurance in Health Care, New York: Oxford University Press;
2003:21−33.
2. Wazir A, Shukla A, Dutton RP. Patient satisfaction in anesthesia: implementation, relevance, and identification of meaningful measures. Adv Anesth. 2018;36:23−7.
3. Andemeskel YM, Elsholz T, Gebreyohannes G, et al. Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: a cross
sectional Study in Eritrea. BMC Health Serv Res. 2019;19: 669.
4. Soltner C, Giquello JA, Monrigal-Martin C, et al. Continuous care and empathic anesthesiologist attitude in the pre-operative period: impact on patient anxiety and satisfaction. Br J Anaesth. 2011;106:680−6.
5. McGrady E. Editorial − Patient feedback and anaesthetists: what are patients assessing and why? Anaesthesia. 2013;68: 1095−106.
6. Klock PA, Roizen MF. More or better − educating the patient about the anesthesiologist’s role as perioperative physician. Anesth Analg. 1996;83:671−2.
7. Capuzzo M, Gilli G, Paparella L, et al. Factors predictive of patient satisfaction with anesthesia. Anesth Analg. 2007;105: 435−42.
8. Capuzzo M, Alvisi R. Is it possible to measure and improve patient satisfaction with anesthesia? Anesthesiol Clin. 2008; 26:613−26.
9. Teunkens A, Vanhaecht K, Vermeulen K, et al. Measuring satisfaction and anesthesia related outcomes in a surgical day care centre: A three-year single-centre observational study. J Clin Anesth. 2017;43:15−23.
10. Myles PS, Weitkamp B, Jones K, et al. Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth. 2000;84:11−5.

11. Heidegger T, Husemann Y, Nuebling M, et al. Patient satisfaction with anaesthesia care: development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria. Br J Anaesth. 2002;89:863−72.
12. Auquier P, Pernoud N, Bruder N, et al. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005;102:1116−23.
13. Caljouw MA, van Beuzekon M, Boer F. Patient’s satisfaction with perioperative care: development, validation, and application of a questionnaire. Br J Anaesth. 2008;100:637−44.
14. Schiff JH, Fornaschon AS, Frankenhauser S, et al. The Heidelberg Peri-anaesthetic Questionnaire − development of a new refined psychometric questionnaire. Anaesthesia. 2008;63:1096−104.
15. Mui WC, Chang CM, Cheng KF, et al. Development and validation of the questionnaire of satisfaction with perioperative anesthetic care for general and regional anesthesia in Taiwanese patients. Anesthesiology. 2011;144:1064−75.
16. Stark PA, Myles PS, Burke JA. Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15. Anesthesiology. 2013;118:1332−40.
17. Moura AC, Ferreira MA, Barbosa J, et al. Satisfação com cuidados anestésicos. Acta Med Port. 2014;27:33−41.
18. Wild D, Grove A, Martin M, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported  Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005;8:94−104.
19. Aronson WL, McAuliffe MS, Miller K. Variability in the American Society of Anesthesiologists Physical Status Classification Scale. AANA J. 2003;71:265−74.
20. Bauer M, Bohrer H, Aichele G, et al. Department of Anesthesia. Measuring patient satisfaction with anesthesia: perioperative questionnaire versus standardised face-to-face interview. Acta Anaesthesiol Scand. 2001;45:65−72.
21. Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res. 2018;23:41. 
22. Kenney WL, Chiu P. Influence of age on thirst and fluid intake. Med Sci Sports Exerc. 2001;33:1524−32.
23. Vaughan MS, Vaughan RW, Cork RC. Postoperative hypothermia in adults: relationship of age, anesthesia, and shivering to rewarming. Anesth Analg. 1981;60:746−51.
24. Sessler DI. Mild Perioperative Hypothermia. N Engl J Med. 1997;336:1730−7.
25. Gerbershagen HJ, Aduckathil S, van Wijck AJ, et al. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology. 2013;118: 934−44.
26. Sjostrom B, Haljamae H, Dahlgren LO, et al. Assessment of postoperative pain: Impact of clinical experience and professional role. Acta Anaesthesiol Scand. 1997;41:339.
27. van Dijk JF, van Wijck AJ, Kappen TH, et al. Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study. Int J Nurs Stud. 2012;49:65−71.
28. Kehlet H, Wilkinson RC, Fischer HB, et al. Prospect Working Group: PROSPECT: Evidence-based, procedure-specific postoperative pain management. Best Pract Res Clin Anaesthesiol. 2007;21:149−59.
29. Darrah DM, Griebling TL, Silverstein JH. Postoperative urinary retention. Anesthesiol Clin. 2009;27:465−84.
30. Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Soc Sci Med. 1990;30:811−8.


Submitted date:
04/26/2021

Accepted date:
12/12/2021

62169d6fa953951b793bb9b5 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections