Evaluation of Factors Associated With Patient Satisfaction and Mood-State in Regional Anesthesia

Patient Satisfaction Clinical Trial

Official title:

Evaluation of Factors Associated With Patient Satisfaction and Mood-State in Regional Anesthesia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03476278
• Other study ID #: U1111-1211-0907
• Status: Completed
• Start date: January 1, 2010
• Est. completion date: June 1, 2011

Study information

• Verified date: February 2019
• Source: Derince Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 300
• Est. completion date: June 1, 2011
• Est. primary completion date: January 1, 2011
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

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

Related Conditions & MeSH terms

• Outcome Assessment
• Patient Satisfaction

Intervention

Other:
• Questionnaire
Postoperative questionnaire, and records of complications in the peri-operative period

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Derince Training and Research Hospital

References & Publications (5)

De Andrés J, Valía JC, Gil A, Bolinches R. Predictors of patient satisfaction with regional anesthesia. Reg Anesth. 1995 Nov-Dec;20(6):498-505. — View Citation

Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q. 2005;83(4):691-729. — View 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. Erratum in: Soc Sci Med 1990;30(12):following 1368. — View 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. Review. — View 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Overall Patient Satisfaction	satisfaction of patients during regional anesthesia (patients will be handed a questionnaire about their satisfaction in recovery room or in ward. They will be able to mark only one option: satisfaction, dissatisfaction)	1 day (peri-operative)
Primary	Overall Mood-state	mood-state of patients during regional anesthesia (patients will be handed a questionnaire about their mood-state in recovery room or in ward. They will be able to mark more than one option about their mood-state: safe, unsafe, comfortable, exited, anxious)	1 day
Secondary	Patient Satisfaction According to Age	patient satisfaction according to age under regional anesthesia	1 day (postoperative)
Secondary	Patient Satisfaction According to Gender	patient satisfaction according to gender under regional anesthesia	1 day
Secondary	Patient Satisfaction According to Education	patient satisfaction from regional anesthesia according to their highest level of education received.	1 day
Secondary	Patient Satisfaction According to the Type of Surgery	patient satisfaction according to the type of surgery under regional anesthesia	1 day
Secondary	Patient Satisfaction According to Past Regional Anesthesia Experience	patient satisfaction according to past regional anesthesia experience under regional anesthesia	1 day
Secondary	Patient Satisfaction According to Preoperative Information	Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.)	1 day
Secondary	Patient Satisfaction According to Intra-operative Adverse Events	patient satisfaction according to intra-operative adverse events under regional anesthesia	1 day
Secondary	Patient Satisfaction According to Recovery Room Adverse Events	patient satisfaction according to recovery room adverse events following surgery under regional anesthesia	1 day
Secondary	Mood State According to Age	Patients' mood state according to age	1 day
Secondary	Mood State According to Gender	Patients' mood state according to gender	1 day
Secondary	Mood State According to Education	Patients' mood state according to their highest degree of education received	1 day
Secondary	Mood State According to Preoperative Information	Patients who were given additional preoperative information about regional anesthesia and the things they would encounter during regional anesthesia (ie: they will feel the touches but pain is not expected to be felt, they can feel nausea because of the side-effect of the regional block, what will be done if the regional blocks are unsuccessful and they feel pain,..etc.)	1 day