Ergebnisqualität in der Anästhesie: eine Querschnittsstudie zum Vergleich mehrerer Instrumente zur Erfassung der postoperativen Ergebnisqualität und Patientenzufriedenheit
Auch gedruckt in der BibliothekZ: J-H 14.145; W: W-H 12.609
Ressourcen- / MedientypDissertation, Text
Datum der Freischaltung2011-07-21
Quality of outcome in anesthesia: a cross-sectional study to compare several instruments for evaluation of the postoperative quality of outcome and patient satisfaction. Introduction: In an increasingly competitive health care market the implementation of quality of outcome documentation has become an important task for anesthesia providers. Methods: Two domain specific questionnaires as proposed by the Australian team of Myles et al. and the German Society of Anesthesia and Intensive Care Medicine (DGAI) were tested during a 6 months period in 383 trauma and orthopedic surgery patients. Furthermore several visual analogue scales were used to evaluate postoperative pain and overall patient satisfaction. Standardized procedures of regional anesthesia (RA) with or without general anesthesia (GA) were provided. All questionnaires were applied at three different times, postoperative in the PACU, on the ward after one postoperative day and within the first week after discharge of the hospital. Results: Pain, nausea and few other adverse events and quality of recovery were significantly more favorable (p < 0,001) in the RA group. Most differences disappeared, however, after postoperative day one. Ceiling effects in the answer pattern for patient satisfaction were detectable in all groups and all points in time. Conclusion: The ceiling effects concerning patient satisfaction limit the usability of the DGAI questionnaire and do not allow discrimination between different anesthesia techniques. Until now Myles’ questionnaire has no validation in a German speaking culture. It is an easy practicable questionnaire that could allow a routine evaluation in daily practice. Both questionnaires provide a framework and starting point for postoperative anesthesia quality assessment. Local adaptation and validation are essential.
LizenzStandard (Fassung vom 01.10.2008)