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

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.

Study Overview

• Status: Completed
• Conditions: Patient Satisfaction; Outcome Assessment
• Intervention / Treatment: Other: Questionnaire

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.

• Study Type: Observational
• Enrollment (Actual): 300

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 75 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

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

Description

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

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
regional, questionnaire; patients who underwent surgery under regional anesthesia.	Other: Questionnaire; Postoperative questionnaire, and records of complications in the peri-operative period

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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)
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Satisfaction According to Age	patient satisfaction according to age under regional anesthesia	1 day (postoperative)
Patient Satisfaction According to Gender	patient satisfaction according to gender under regional anesthesia	1 day
Patient Satisfaction According to Education	patient satisfaction from regional anesthesia according to their highest level of education received.	1 day
Patient Satisfaction According to the Type of Surgery	patient satisfaction according to the type of surgery under regional anesthesia	1 day
Patient Satisfaction According to Past Regional Anesthesia Experience	patient satisfaction according to past regional anesthesia experience under regional anesthesia	1 day
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
Patient Satisfaction According to Intra-operative Adverse Events	patient satisfaction according to intra-operative adverse events under regional anesthesia	1 day
Patient Satisfaction According to Recovery Room Adverse Events	patient satisfaction according to recovery room adverse events following surgery under regional anesthesia	1 day
Mood State According to Age	Patients' mood state according to age	1 day
Mood State According to Gender	Patients' mood state according to gender	1 day
Mood State According to Education	Patients' mood state according to their highest degree of education received	1 day
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

Collaborators and Investigators

• Sponsor: Derince Training and Research Hospital
• Investigators: Study Director: Vildan Akpinar, MD, Izmir Bozyaka Training and Research Hospital

Publications and helpful links

General Publications

• De Andres J, Valia JC, Gil A, Bolinches R. Predictors of patient satisfaction with regional anesthesia. Reg Anesth. 1995 Nov-Dec;20(6):498-505.
• 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.
• 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.
• 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.
• 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. Erratum In: Soc Sci Med 1990;30(12):following 1368.
• 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.

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2010
• Primary Completion (ACTUAL): January 1, 2011
• Study Completion (ACTUAL): June 1, 2011

Study Registration Dates

• First Submitted: March 17, 2018
• First Submitted That Met QC Criteria: March 22, 2018
• First Posted (ACTUAL): March 26, 2018

Study Record Updates

• Last Update Posted (ACTUAL): May 31, 2019
• Last Update Submitted That Met QC Criteria: February 17, 2019
• Last Verified: February 1, 2019

More Information

Terms related to this study

• Keywords: Regional Anesthesia; Perioperative Period; Patient Satisfaction; Outcome Assessment (Health Care); Surveys and Questionnaires
• Other Study ID Numbers: U1111-1211-0907

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: The investigators do not prefer to share the study plan and records.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No