Assessment of Patient Satisfaction with Preoperative Anesthetic Evaluation and Assosated Factors at Menelik  Referal Hospital Addis Ababa, Ethiopia

Abstract

Background: Patient Satisfaction- refers to a state of pleasure or happiness with an action or service especially one that was earlier desired. Patient satisfaction is progressively appreciated measure of outcome for health care procedures and it was a measure of success in this hospitals. It was affected by anesthetist’s patient interaction, in the preoperative anesthetic evaluation. No prior study conducted in our setup. Objective: The purpose of this study was to evaluate inpatients’ satisfaction with preoperative anesthetic evaluation and associated factors at Menelik II Referral Hospital Addis Ababa Ethiopia. Methods- Institutional based cross sectional study was conducted at Menelik II Referral Hospital from Jan 6 to Feb 6, 2016, All patients who remained for elective surgery were included in the study period and interview 24 hours after operation. Data were collected using pretested standard questionnaires. All items in the structured questionnaire were scored on five point Likert scale. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Binary logistic regression was used to measure statistical significance between dependent and each independent variable. P-value 0.05 and 95% CI was used as cut off point. Results: Two hundred and seventy-five patients were operated upon under anesthesia during the study period. Of these, a total of 224 patients were included in this study with a response rate of 81.5 %, with the overall proportion of patients who said they were satisfied with anesthesia services was 72.3 %.the major factors that take patient dissatisfaction were 68.1% of patient explain anesthetist were not introduce him or herself to the patient, information on postoperative analgesia were 99.1% and postoperative nausea vomiting management were accounts 84.8%. Conclusion and recommendation: Patient satisfaction with anesthesia services was low 72.3 % in our setup compared with many previous studies, and females more dissatisfied 42.4 % than males 57.6 %. Factors that affected patient satisfaction negatively may be preventable or enhanced. Further study should be done and patient satisfaction give an emphasis.