Clinical trial NCT03476278: Evaluation of Factors Associated With Patient Satisfaction and Mood-State in Regional Anesthesia
Official title: Evaluation of Factors Associated With Patient Satisfaction and Mood-State in Regional Anesthesia
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Outcome Assessment
Patient Satisfaction
Keywords: Outcome Assessment (Health Care)
Patient Satisfaction
Perioperative Period
Regional Anesthesia
Surveys and Questionnaires
Lead sponsor: Derince Training and Research Hospital
Sponsor class: OTHER
First posted: 2018-03-26
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients who underwent gynecological and obstetrical, urological, orthopedic and general surgical procedures under general anesthesia

Brief summary: Patient satisfaction is an important subjective measure of healthcare quality which contributes to evaluation of the structure, process and outcome of services. The key factor in patient satisfaction is adequate perioperative information of the patient and communication between healthcare providers and patient or patient's kin.

There are few studies in anesthesia that have assessed patient satisfaction and mood-state during regional anesthesia.

The investigators aimed to evaluate factors associated with patient satisfaction from regional anesthesia procedure and mood-state of patients who underwent surgery under regional anesthesia.

Detailed description: Patient satisfaction is an important subjective measure of healthcare quality which contributes to evaluation of the structure, process and outcome of services. Many factors contribute to patient satisfaction, including institutional structure, interpersonal relationships, and a patient' expectations. Age, gender, social insurance, educational and social statue also play role in patient satisfaction. The key factor in patient satisfaction is adequate perioperative information of the patient and communication between healthcare providers and patient or patient's kin.

The success of regional anesthesia is influenced by several factors. Most patients expect uneventful perioperative process. Nevertheless, recovery from surgery and anesthesia is sometimes complicated by major and minor complaints including pain, nausea, vomiting and other. Although there is no scientific or clinical evidence that regional anesthesia is superior to general anesthesia, regional anesthesia has some advantages like keeping consciousness of the patient during surgery, continuation of spontaneous breathing, avoiding the loss of protective reflexes, allowing early mobilization in the postoperative period and shortening the length of hospital stay. However, the major contraindication for regional anesthesia is the patient's unwillingness.

There are few studies in anesthesia that have assessed patient satisfaction and mood-state during regional anesthesia.

The investigators aimed to evaluate factors associated with patient satisfaction from regional anesthesia procedure and mood-state of patients who underwent surgery under regional anesthesia.

Eligibility criteria: Inclusion Criteria:

- patients who underwent gynecological and obstetrical, urological, orthopedic and general surgical procedures under general anesthesia

Exclusion Criteria:

- clinically significant psychiatrically ill illiterate patients who received general anesthesia patients that have speech, hearing, or understanding problems

Primary outcomes:
measure: Overall Patient Satisfaction
timeFrame: 1 day (peri-operative)
measure: Overall Mood-state
timeFrame: 1 day
Secondary outcomes:
measure: Patient Satisfaction According to Age
timeFrame: 1 day (postoperative)
measure: Patient Satisfaction According to Gender
timeFrame: 1 day
measure: Patient Satisfaction According to Education
timeFrame: 1 day
measure: Patient Satisfaction According to the Type of Surgery
timeFrame: 1 day
measure: Patient Satisfaction According to Past Regional Anesthesia Experience
timeFrame: 1 day
measure: Patient Satisfaction According to Preoperative Information
timeFrame: 1 day
measure: Patient Satisfaction According to Intra-operative Adverse Events
timeFrame: 1 day
measure: Patient Satisfaction According to Recovery Room Adverse Events
timeFrame: 1 day
measure: Mood State According to Age
timeFrame: 1 day
measure: Mood State According to Gender
timeFrame: 1 day
measure: Mood State According to Education
timeFrame: 1 day
measure: Mood State According to Preoperative Information
timeFrame: 1 day
Other outcomes:
Locations:
Study officials:
affiliation: Izmir Bozyaka Training and Research Hospital
name: Vildan Akpinar, MD
role: STUDY_DIRECTOR
References:
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citation: Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q. 2005;83(4):691-729. doi: 10.1111/j.1468-0009.2005.00397.x. No abstract available.
citation: Lohr KN, Donaldson MS, Harris-Wehling J. Medicare: a strategy for quality assurance, V: Quality of care in a changing health care environment. QRB Qual Rev Bull. 1992 Apr;18(4):120-6. doi: 10.1016/s0097-5990(16)30518-8.
citation: Myles PS, Williams DL, Hendrata M, Anderson H, Weeks AM. Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10,811 patients. Br J Anaesth. 2000 Jan;84(1):6-10. doi: 10.1093/oxfordjournals.bja.a013383.
citation: Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30(7):811-8. doi: 10.1016/0277-9536(90)90205-7.
citation: Tosuner Akpinar V, Koroglu L, Gurbuz Aytuluk H. Evaluation of factors associated with patient satisfaction and mood-state in regional anesthesia. Agri. 2019 Apr;31(2):57-62. doi: 10.5505/agri.2018.71363.