Satisfaction with perioperative anesthesia care among general surgery patients at a secondary level hospital, Dodoma-Tanzania

ABSTRACT

Introduction This study aims to determine patients’ satisfaction with perioperative anesthesia care and its associated factors among patients planned for surgery at Dodoma Regional Referral Hospital (DRRH), Tanzania.

Methods An analytical Cross-sectional study of 425 perioperative patients admitted at DRRH using an interview form modified from the Leiden Perioperative Care Patient Satisfaction questionnaire, was conducted. Data was collected using an Open data Kit (ODK) tool. Perioperative factors were analysed per specific objective and where applicable percentage, mean and standard deviations were used. Satisfaction was measured using demarcation threshold formula. Association between variables was tested via Chi-square test for categorical variables. The chi-square, odds ratio, 95% confidence interval, and p-value were computed to identify associated factors and determine the strength of the association. P-value of 0.05 was used for statistical significance. Independent factors in univariate analysis with a P-value < 0.2 were included in the multivariate analysis. SPSS computer program version 20 was utilized for analysis.

Results About 65% (64.9%) of respondents were satisfied with the perioperative anaesthesia care services, Overall mean (SD) satisfaction score being 69 (8.0). Postoperative surgical pain, time spent in the recovery room and staff consideration of patient’s privacy in theatre were predictive factors for patient satisfaction after perioperative anesthesia service with AOR (95% CI) P value of 0.2 (1.36-3.08) 0.003, 4.9(2.4-9.9) <0.001, and 3.2 (1.1–9.46) 0.029 respectively.

Discussion and Conclusion Overall patient satisfaction with perioperative anesthesia services was moderately low. Key factors influencing satisfaction were preoperative visits, postoperative pain, ASA status, patient privacy, and recovery room time. Future research should focus on patients’ willingness to return for surgery and explore the underlying reasons behind satisfaction to improve perioperative care quality.

Competing Interest Statement

The authors have declared no competing interest.

Clinical Trial

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Clinical Protocols

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Funding Statement

The author(s) received no specific funding for this work.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Not Applicable

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Ethical clearance for the study was obtained from the MUHAS Research and Publication Committee (IRB reference number DA.282/298/01.C/2226), and permission to conduct the research was granted by Dodoma Regional Referral Hospital

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Not Applicable

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

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Footnotes

email addresses: Janethmasumagmail.com, Janethmasumayahoo.com; akagaigaigmail.com, amanianaeliyahoo.co.uk; albertoulimaligmail.com; eibenzi27gmail.com, Pmbelle77gmail.com; Makangalegmail.com

Data availability

Data are kept at the MUHAS data repository site, and they are available upon reasonable request.

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