[Patient satisfaction with anesthesia as a measure of quality of anesthesia care]

Patient satisfaction with anaesthesia is very important as a expectancy satisfaction in perioperative care. It is simultaneously patient opinion about the anaesthetic care prior to and during anaesthesia, and shortly after the operation. The aim of the research was to evaluate the patient satisfaction and to determine the factors connected with satisfaction in the perioperative period Out of a total of 250 patients, 155 women (62%) and 95 men (48%) underwent general and local anaesthesia due to the operations. They answer 55 questions on the third day after the operation. At the same time anaesthesiologists and nurses evaluate the quality of theirselves anaesthesia. In the opinion of anaesthetic team the quality of anaesthesia was very good--51.6%, good--46.8% and adequate only 2.6%. Positive opinion about the quality of anaesthesia expressed 87% of patients, negative only 0.5% and 12.5% have no opinion. The very good atmosphere was in Preanaesthetic Evaluation Clinic and during the admission to the operating room. The factors decreased patient satisfaction immediately after the operation were breathing difficulties, vomiting, nausea, feeling coldness and pain. The main factors evaluating the quality of anaesthetic care and patient satisfaction are specific information, proper premedication and feeling safety in the operating room. On the other hand the discomfort and insufficient analgesia decreased patient satisfaction with anaesthesia.