Factors related to patient satisfaction regarding spinal anesthesia.

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dc.contributor.authorCharuluxananan, Somraten_US
dc.contributor.authorSriprajittichai, Pinen_US
dc.contributor.authorSirichotvithyakorn, Pornarunen_US
dc.contributor.authorRodanant, Oraluxnaen_US
dc.contributor.authorKyokong, Oranuchen_US
dc.date.accessioned2009-05-27T18:50:54Z
dc.date.available2009-05-27T18:50:54Z
dc.date.issued2003-06-22en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractPURPOSE: Regional anesthesia has been shown to improve the clinically oriented outcome and many studies investigating the use of regional anesthesia have incorporated patient satisfaction measurements. This study was undertaken to find the factors related to patient satisfaction after spinal anesthesia which is the most frequent regional anesthesia conducted. METHOD: A prospective descriptive study of spinal anesthesia and post-operative survey of patients on the day after surgery was conducted by collecting pre-operative and intra-operative data on a constructed questionaire. Post-operative data including average pain score, satisfaction score of receiving spinal anesthesia, adverse effects and willingness to accept or refuse spinal anesthesia for a similar surgery again were asked by the performer of spinal anesthesia or trained anesthesia personnel. RESULTS: The average satisfaction score of receiving spinal anesthesia of 522 patients was 8.30 +/- 1.80 which was divided into 502 (96.2%) of satisfied patients (satisfaction score > or = 5) and 20 (3.8%) of dissatisfied patients (satisfaction score < 5). Factors associated with dissatisfaction were the increasing number of attempts of spinal block, p = 0.028, OR = 0.67 (0.48-0.96); pain during spinal block, p = 0.035, OR = 0.77 (0.60-0.98), inadequate analgesia, p = 0.005, OR = 0.07 (0.01-0.45) and post-operative urinary retention, p < 0.001, OR = 0.07 (0.02-0.28). Factors associated with refusal to have spinal anesthesia for similar surgery again were: female gender, p = 0.008, OR = 6.00 (1.61-22.37), low body weight, p = 0.009, OR = 0.95 (0.92-0.98), intra-operative vomiting, p = 0.01, OR = 5.02 (1.47-17.08) and low satisfaction score of spinal anesthesia, p < 0.001, OR = 0.04 (0.01-0.12). CONCLUSION: The patients receiving spinal anesthesia gave a high rate of patient satisfaction score of receiving spinal anesthesia. Ensuring quality of spinal anesthesia, improving clinical skill of anesthesiologists and prevention of side effects especially urinary retention would improve patient satisfaction.en_US
dc.description.affiliationDepartment of Anesthesiology and Clinical Epidemiology Unit, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.en_US
dc.identifier.citationCharuluxananan S, Sriprajittichai P, Sirichotvithyakorn P, Rodanant O, Kyokong O. Factors related to patient satisfaction regarding spinal anesthesia. Journal of the Medical Association of Thailand. 2003 Jun; 86 Suppl 2(): S338-43en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39970
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAnesthesia, Spinalen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshProspective Studiesen_US
dc.titleFactors related to patient satisfaction regarding spinal anesthesia.en_US
dc.typeJournal Articleen_US
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