Özlem ÇETİN AKICI, Elif DOĞAN BAKI, Elif BÜYÜKERKMEN, Remziye Gül SIVACI

SEZARYEN UYGULANAN GEBELERDE GENEL VE SPİNAL ANESTEZİDEN MEMNUNİYETİN DEĞERLENDİRİLMESİ

AMAÇ: Sezaryen uygulanan gebelerde spinal ve genel anesteziden memnuniyetin değerlendirilmesini amaçladık.

Anahtar Kelimeler:

Sezeryan, Anestezi, Memnuniyet

EVALUATION OF THE SATISFACTION FROM GENERAL AND SPINAL ANESTHESIA IN CESAREAN APPLIED PREGNANT

OBJECTIVE: We aimed to evaluate the satisfaction of pregnant women undergoing cesarian section from general and spinal anesthesia.MATERIALS AND METHODS: 160 pregnant women who were admitted to Kocatepe University Faculty of Medicine Hospital between April 2010 and April 2011 for elective cesarean section were enrolled in the study. A questionnaire consisting of 3 parts that was prepared to learn patients degree of knowledge and fears about general and spinal anesthesia preoperatively and their degree of satisfaction of anesthesia they preferred postoperatively, was applied to patients.RESULTS: The groups were found to be homogeneous for there was no statistically significant difference between the groups in terms of age, weight, education, comorbid disease and previous anesthesia experience of patients. When the patients’ preffered choice of anesthesia was evaluated before informing and after informing, their anesthesia preferences were in favor of spinal anesthesia significantly (p<0.001). The biggest fear of general anesthesia group patients was not waking up from anesthesia (25.6 %), whereas 44 % of them had no fear from general anesthesia at the preoperative evulation. General anesthesia preferred group after disclosure stated that 73.8 % of them were satisfied while 26.2 % of them were not satisfied. When these patients were asked what bothers them the most complaints; complained of a sore throat are the most (13.8 %). In this group, the satisfaction of postoperative anesthesia-hospital equipment was quite high and they stated that if the were operated again, they would still prefer general anesthesia.The biggest fear of spinal anesthesia group patients was to be awake and getting aware of things around them (21.9 %), and 21.3 % of them reported that they had no concerns with spinal anesthesia. Spinal anesthesia preferred group after disclosure stated that 65 % of them were satisfied while 35 % of them were not satisfied at the satisfaction evaluation that was made one day after surgery. When these patients were asked what bothered them, the most complaint was being awake (22.6 %) and having pain (20.6 5) during surgery. In this group, the satisfaction of postoperative anesthesia-hospital equipment was high and 78.8 % of them stated that if the were operated again, they would still prefer spinal anesthesia.CONCLUSION: In recent years, an increase in regional anesthesia rates are seen according to the increase of cesarean section rates. In our study, the anesthesia choice of patients after informing was found to be prone to regional anesthesia. If the anesthesiologist inform the patient about the anesthesia choice preoperatively, fear of the patients will be decreased and the satisfaction to the selected method will be increased directly.

Keywords:

Cesearean, Anesthesia, Satisfaction,

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