Vildan TOSUNER AKPINAR, Hande Gürbüz AYTULUK, Lale VAN KOROĞLU

Rejyonel anestezide hastaların memnuniyeti ve duygu durumu ile ilgili faktörlerin değerlendirilmesi

Amaç: Hastaların rejyonel anesteziden memnuniyetini ve rejyonel anestezi ile ameliyat olan hastaların duygu durumlarını etkileyen faktörleri araştırmak. Gereç ve Yöntem: Çalışma rejyonel anestezi altında ameliyat olan 300 hastayı kapsamaktadır. Hastaların memnuniyeti ve ameliyat sırasındaki duygu durumları, derlenme odasında rejyonel anestezi ile ilgili yapılan bir anketle değerlendirilmiştir. Bulgular: Tüm hastalar arasında rejyonel anesteziden genel memnuniyet 82.3%’tü. Memnuniyet düzeyi 18-25 yaş grubunda, erkek cinsiyette, geçmiş rejyonel anestezi deneyimi olanlarda ve preoperatif anestezi değerlendirmesi sırasında rejyonel anestezi ile ilgili uygun bilgilendirme yapılan hastalar arasında daha yüksekti. Ameliyat sırasında başarısız spinal anesteziye bağlı ağrı duyma ile rejyonel anesteziden memnuniyetsizlik arasında anlamlı bir ilişki vardı. Ameliyat öncesi uygun bilgilendirme yapılan hastalar çoğunlukla “güven” duygusunu ifade etti. Ürolojik ameliyat yapılan hastalar daha çoğunlukla “rahatlık” duygusunu ifade etti. Jinekolojik ve obstetrik cerrahi uygulanan hastalar çoğunlukla “heyecan” duygusunu ifade etti. Genel cerrahi ameliyatı yapılan hastalar ile rejyonel anestezi hakkında preoperatif yeterli bilgi alamayan hastalar çoğunlukla “korku” duygusunu ifade etti. Sonuç: Ameliyat öncesinde rejyonel anestezi hakkında yeterli bilgilendirme, memnuniyeti arttırmakla birlikte hastaların ameliyat sırasında güvende hissetmelerini sağlayacaktır.

Evaluation of factors associated with patient satisfaction and mood-state in regional anesthesia

Objectives: This study was designed to evaluate patient satisfaction with a regional anesthesia procedure and factors associatedwith the mood state of those patients at the time.Methods: The study was performed with 300 patients who underwent surgery under regional anesthesia. The patients weregiven a questionnaire while in the recovery room about the experience of undergoing regional anesthesia to determine patientsatisfaction and mood state during the procedure.Results: The overall level of satisfaction with regional anesthesia was 82.3%. The level of satisfaction was higher in the agegroup of 18-25 years, male gender, in patients who had a previous regional anesthesia experience, and in patients who werewell informed about regional anesthesia in a preoperative anesthetic evaluation. There was a relationship between pain dueto failed spinal anesthesia during surgery and dissatisfaction with regional anesthesia. Patients who were properly informedpreoperatively mostly expressed the feeling of “safe.” Patients who underwent urological interventions most often expressedthe feeling of “comfortable”. Patients underwent gynecological and obstetrical surgeries mostly expressed the feeling “excited”.Patients who underwent general surgical procedures and patients who were not informed preoperatively about regionalanesthesia most often reported feeling “anxious.”Conclusion: Providing adequate preoperative information to the patient about regional anesthesia will increase overall satisfactionand will assure the patient feels safe during the perioperative period.

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