Assessment of dissatisfaction, refusal and associated factors after spinal anaesthesia for elective surgical procedures in public hospitals in Addis Ababa, Ethiopia, 2020/2021, A cross sectional study
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Date
2021-06
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Addis Abeba University
Abstract
Background: Spinal anaesthesia is the most common type of regional anaesthesia technique which
helped for a wide range of surgical procedures. Patient satisfaction with anaesthesia care is important
to monitor the quality of anaesthesia delivery system. It is important to identify the reasons and the
risk factors for patients’ dissatisfaction and refusal after spinal anaesthesia for continuous
improvement of quality of anaesthesia services.
Objectives: The aim of this study was to assess the dissatisfaction, refusal and associated factors
after spinal anaesthesia for elective surgical procedures in public hospitals in Addis Ababa, Ethiopia,
2020/2021.
Methods: A multicentre cross-sectional study was conducted from December 30 to April 14,
2020/2021, in selected public hospitals in Addis Ababa, Ethiopia. A total of 227 patients older than
18 years old scheduled for elective surgery under spinal anaesthesia were incorporated in the study.
A five point likert scale was used to assess patients preoperative, intraoperative, and postoperative
satisfaction level of anaesthesia service. Both bivariate and multivariate logistic regressions were
used to measure association of predictor and outcome variable at 95% CI using adjusted odds ratio.
P value <0.05 was used to declare statistical significance.
Results: A total of 227 patients included in this study and overall proportion of patients who were
satisfied with spinal anaesthesia was 150 (66.1%). Risk factors of dissatisfaction were backache
(AOR=4.73, 95%CI=1.97, 11.36), headache (AOR=3.68, 95%CI=1.54, 8.80), and intraoperative
nausea &vomiting (AOR=3.33(1.43, 7.73). 188(83%) of patients would choose spinal anaesthesia
again whereas 39(17%) would refuse to undergo spinal anaesthesia in the future and its risk factors
were intraoperative pain, fear of awareness and backache.
Conclusion and recommendation: Patients satisfaction towards spinal anaesthesia was very low in
our setup compared to many other previous studies. Backache, headache and intraoperative nausea
and vomiting were risk factors which results patients dissatisfaction.
Explaining the benefits and risks of anaesthesia, and understanding the patient’s opinion is essential
to increase satisfaction with anaesthesia service.
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Keywords
Spinal anaesthesia, dissatisfaction, refusal and associated factor