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Nakahashi K, Motozu Y, Sasaoka N, et al. [Patient dissatisfaction with anesthetic care]. Masui. 2004;53(10):1136-42
Nakahashi, K., Motozu, Y., Sasaoka, N., Hirai, K., Kitaguchi, K., & Furuya, H. (2004). [Patient dissatisfaction with anesthetic care]. Masui. The Japanese journal of anesthesiology, 53(10), 1136-42.
Nakahashi, Kazuyoshi, et al. "[Patient dissatisfaction with anesthetic care]." Masui. The Japanese journal of anesthesiology vol. 53,10 (2004): 1136-42.
Nakahashi K, Motozu Y, Sasaoka N, Hirai K, Kitaguchi K, Furuya H. [Patient dissatisfaction with anesthetic care]. Masui. 2004 Oct;53(10):1136-42. Japanese. PMID: 15552945.
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Masui. 2004 Oct;53(10):1136-42.

[Patient dissatisfaction with anesthetic care].

Masui. The Japanese journal of anesthesiology

[Article in Japanese]
Kazuyoshi Nakahashi, Yoshiko Motozu, Noriyuki Sasaoka, Katsuji Hirai, Katsuyasu Kitaguchi, Hitoshi Furuya

Affiliations

  1. Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.

PMID: 15552945

Abstract

BACKGROUND: The evaluation of services by patients is an essential component of quality improvement in anesthesiology. Therefore, it is important to identify the factors for patient dissatisfaction.

METHODS: We retrospectively studied 9974 consecutive patients who had received spinal or general anesthesia for elective surgery between 1999 and 2002. Pre-anesthetic, intra-anesthetic and post-anesthetic variables were recorded and patient satisfaction was assessed using direct interviews at the post-anesthetic clinic. Qualitative data on dissatisfaction were obtained by asking patients' reasons for dissatisfaction.

RESULTS: 348 of the 8843 respondents (3.9%) had dissatisfaction with anesthesia. The rates of dissatisfaction were higher in women than in men and in spinal anesthesia than in general anesthesia, and were observed mostly in the patients aged from 20 to 39 years. Qualitative data show that the common reasons for dissatisfaction with anesthesia were spinal anesthesia as the most dissatisfactory factor, followed by epidural anesthesia, postoperative pain, vomiting/nausea and memory of tracheal extubation. However, other various factors were associated with dissatisfaction.

CONCLUSIONS: It is difficult for anesthesiologists to satisfy all patients, because patients' senses of values were varied. However, we conclude that anesthesiologists can improve the quality of anesthesia by enlightenment of the patient about anesthesia, and moreover, by better peri-anesthetic management for dissatisfactory factors with anesthesia.

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