ASSESSMENT OF PATIENT SATISFACTION WITH PRE-OPERATIVE ANESTHESIA ASSESSMENT IN CESAREAN SECTION SURGERIES

Abstract

Objective of Study  :To determine the impact of preoperative anesthesia assessment on patient's satisfaction in C section surgeries . To study  the  impact of  Anesthesia team communication, Patient's counseling, Anxiety or stress management by anesthesia team , Pain Management , Information given about NPO  , possible complications like  PONV  and Consent  on the Patient satisfaction  in c-section surgeries. Research Design: The research design for the proposed study will be a  descriptive cross sectional study and data will be  collected on prestructured questionnaire from patients undergoing c section surgeries and meeting the selection criteria. Place & Duration of Study: The research will be conducted at Anesthesia Department of Chaudhry Muhammad Akram Teaching and Research Hospital Lahore   From January 2025 to March 2025.. Material & Methods: This descriptive  cross-sectional study was conducted in Anesthesia Department of Chaudhry Muhammad Akram Teaching and Research Hospital Lahore   From January 2025 to March 2025.A sample of  120  patients patients undergoing elective cesarean section was selected out  of which 0.9% refused and remaining 107 were  considered for the study. Parturients who cannot communicate and who were unconscious after the operation were excluded.    These all of the patients who meet our criterion were  asked to fill the questionnaire that helped to determine the impact of different parts of pre operative anaesthesia assessment on patient satisfaction. The Frequency, percentage, and correlation of patient data were evaluated by the SPSS statistics V.30. Results: One hundred and eight consecutive patients who underwent for elective cesarean section over 2 months were originally enrolled in the study. Out of these 0.9% refused to take part in the study . 80% of the population were satisfied with fasting instructions,59.8% of patients were satisfied with clarity of information on possible post operative complications and anesthesia risks,22.4 % were neutral in this case.78.5% were satisfied with professionalism of anesthesia team.69.2 %  were satisfied and 17.8% were neutral on information provided about anesthesia consent form. 71.1% were satisfied with management of any discomfort.67.3% were satisfied with anesthesia team help in alleviating anxiety about anesthesia.67.3% were satisfied for participation in decision making regarding the procedure. Overall satisfaction with preoperative anesthesia assessment was 24.3% were extremely satisfied 54.2% were satisfied 11.2 percent were less or not satisfied and 10.3% were neutral. Conclusion: We concluded that the process of preoperative anesthesia assessment ensures safety for anesthesia which contributes to increase the surgical outcomes and increase in patient's satisfaction. Patient satisfaction is an important outcome indicator of the quality of health care services, as recognized by the American Society of Anesthesiologists (ASA). Preoperative anesthesia assessment is a major step of anesthesia services in any institute and plays a key role in patient satisfaction. In our study Majority of participants were satisfied with preoperative interaction with the anesthetist, delivery of fasting instructions, clarity about the procedure however improvement  is needed in delivery of clear information about possible complications of procedure and consent about anesthesia.