Measuring patient satisfaction with anaesthesia:: perioperative questionnaire versus standardised face-to-face interview

被引:83
作者
Bauer, M [1 ]
Böhrer, H [1 ]
Aichele, G [1 ]
Bach, A [1 ]
Martin, E [1 ]
机构
[1] Heidelberg Univ, Dept Anesthesia, Klin Anaesthesiol, D-69120 Heidelberg, Germany
关键词
anesthesia; outcome; patient satisfaction; discomfort; measurement techniques; questionnaire; interview;
D O I
10.1034/j.1399-6576.2001.450111.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background: Patient satisfaction represents an essential part of quality management. Measuring the degree of patient satisfaction can be achieved with a variety of tools such as postoperative visits and patient questionnaires. The primary aim of this study was to quantify the degree of patient satisfaction with anaesthesia. A secondary aim was to compare the questionnaire technique with standardised face-to-face interviewing. Methods: The authors prospectively studied 700 patients on the second postoperative day. Patients were randomised and allocated to complete either a written questionnaire or to answer the same questions during a standardised face-to-face interview. The questionnaire was subdivided into a set of questions on anaesthesia-related discomfort and another set on satisfaction with anaesthesia care in general. The questions on discomfort were assessed on a 3-point scale, and those on patient satisfaction on a 4-point scale. Results: Response rate was 84% (589 of 700 patients). Internal consistency, as measured by Cronbach's alpha, was 0.84. When evaluating the questions on anaesthesia-related discomfort, the most frequent sensations were "drowsiness" (>75%), "pain at the surgical site" (>55%), and "thirst" (>50%). The data on patient satisfaction showed a high degree of satisfaction (>90%). The responses to questions on anaesthesia-related discomfort revealed only minor differences between the questionnaire and the face-to-face interview. The questions on satisfaction with anaesthesia, however, were answered consistently in a more critical manner during the interview (P<0.0001). Conclusions: The standardised interview may be more suited to determine patient satisfaction than a questionnaire. Quality improvements are possible for emergence from anaesthesia, postoperative pain therapy, and the treatment of postoperative nausea and vomiting.
引用
收藏
页码:65 / 72
页数:8
相关论文
共 21 条
[1]  
Aharony L, 1993, Med Care Rev, V50, P49, DOI 10.1177/002570879305000104
[2]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[3]  
Bothner U, 1996, Anasthesiol Intensivmed Notfallmed Schmerzther, V31, P608, DOI 10.1055/s-2007-995994
[4]  
Cohen M M, 1994, Qual Health Care, V3, P137, DOI 10.1136/qshc.3.3.137
[5]  
Cronbach LJ, 1951, PSYCHOMETRIKA, V16, P297
[6]   Development of a measure of patient satisfaction with monitored anesthesia care - The Iowa satisfaction with anesthesia scale [J].
Dexter, F ;
Aker, J ;
Wright, WA .
ANESTHESIOLOGY, 1997, 87 (04) :865-873
[7]   ANESTHESIA IN AN AUSTRALIAN PRIVATE HOSPITAL - THE CONSUMERS VIEW [J].
DODDS, CP ;
HARDING, MI ;
MORE, DG .
ANAESTHESIA AND INTENSIVE CARE, 1985, 13 (03) :325-329
[8]   Validation of a quality of life questionnaire for critically ill patients [J].
Fernandez, RR ;
Cruz, JJS ;
Mata, GV .
INTENSIVE CARE MEDICINE, 1996, 22 (10) :1034-1042
[9]   Measuring patient satisfaction with anesthesia care: A review of current methodology [J].
Fung, D ;
Cohen, MM .
ANESTHESIA AND ANALGESIA, 1998, 87 (05) :1089-1098
[10]   APPRAISAL OF ANESTHETIST-PATIENT RELATIONSHIP [J].
HERMAN, CR .
ANAESTHESIA, 1978, 33 (01) :45-48