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
| dc.contributor.advisor | Seifu, Ashenafi (BSc, MSc) | |
| dc.contributor.author | Yimam, Ali | |
| dc.date.accessioned | 2021-10-12T11:24:59Z | |
| dc.date.accessioned | 2023-11-05T09:39:54Z | |
| dc.date.available | 2021-10-12T11:24:59Z | |
| dc.date.available | 2023-11-05T09:39:54Z | |
| dc.date.issued | 2021-06 | |
| dc.description.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. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/28111 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Spinal anaesthesia, dissatisfaction, refusal and associated factor | en_US |
| dc.title | 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 | en_US |
| dc.type | Thesis | en_US |