Evaluation of Factors Associated With Patient Satisfaction and Mood-State in Regional Anesthesia
Conditions: Outcome Assessment, Patient Satisfaction
Sponsor: Derince Training and Research Hospital

Evaluation of Factors Associated with Patient Satisfaction and Mood-State in Regional 
Anesthesia  
Vildan Tosuner Akpinar MD1,2, Lale Van Koroglu MD1, Hande Gurbuz Aytuluk MD1,3 
1: Izmir Ataturk Training and Research Hospital; Department of Anesthesiology and 
Reanimation 
2: New affiliation: Izmir Bozyaka Training and Research Hospital; Department of 
Anesthesiology and Reanimation 
3: New affiliation: Kocaeli Derince Training and Research Hospital; Department of 
Anesthesiology and Reanimation 
Trial registration: NCT03476278 
 
Date of the document:  
Initial Release: March 17th, 2018 
Study Start (Actual): January 1st, 2010 
Study Completion (Actual): January 1st, 2011 
Last Update: February 17th, 2019 
 
 
 

Objectives: To evaluate factors associated with patient satisfaction from regional anesthesia 
procedure and mood-state of patients who underwent surgery under regional anesthesia. 
Design and Subjects: This study was held on 300 patients who underwent surgery under 
regional anesthesia in Izmir Ataturk Research and Training Hospital. 
Methods: Data collection included patient characteristics, previous anesthetic and surgical 
experiences, type of surgery, perioperative critical events, and preoperative information 
about the anesthetic procedure. Hypotension, bradycardia, pain, nausea and vomiting were 
rated on an ordinal scale and dichotomized as “1” for presence and “0” for absence of any of 
these adverse events. At the recovery room, patients were handed a questionnaire about 
regional anesthesia to determine patient satisfaction and mood-state during the procedure. 
Patients were only able to mark one option: satisfied or dissatisfied. At the same time, they 
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.  
All patients had preanesthetic evaluation prior to the surgery. The decision of general or 
regional anesthesia was left to the patient’s primary physician anesthesiologist. Heart rate, 
blood pressure, and oxygen saturation were recorded every 5 minutes during the operation, 
and every 15 minutes at the recovery room. Complications (bradycardia, hypotension, pain, 
nausea and vomiting) were recorded. Patients that are clinically significant psychiatrically ill, 
illiterate, and patients who received general anesthesia and patients that have speech, 
hearing, or understanding problems were excluded from the study.  
Statistical analysis: Data were evaluated using SPSS 16.0 (Statistical Program for Social 
Sciences, Chicago, Il, U.S). Associations of categorical variables with patient satisfaction and 

dissatisfaction were assessed using chi-square or Fisher’s Exact tests. Significance of 
continuous variables were assessed with t-test and Mann Whitney U test. P value of <0.05 was 
used for statistically significance. 
Ethical Consideration: This study was approved by the Izmir Ataturk Training and Research 
Hospital Institutional Review Board (Decree #32, August 10th, 2010) and written informed 
consent was obtained from all subjects participating in the trial. All procedures followed were 
in accordance with the ethical standards of the responsible committee on human 
experimentation and with the Helsinki Declaration of the World Medical Association.