FACTORS AFFECTING THE PATIENT DISSATISFACTION WITH ANESTHESIA CARE SERVICES IN LADY READING HOSPITAL, PESHAWAR, PAKISTAN: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.71000/8jspzs86Keywords:
Communication, Preoperative education, Anesthesia, Cross-Sectional Studies, Pain Management, Patient Satisfaction, Perioperative CareAbstract
Background: Patient satisfaction serves as an essential quality indicator in anesthesia services, where preoperative counseling, intraoperative interaction, and postoperative symptom management collectively shape the overall experience. Dissatisfaction often arises when communication is unclear, expectations are unmet, or postoperative discomfort is inadequately controlled. In resource-constrained settings, limited time for counseling and diverse patient literacy levels may further influence perceptions of care. Understanding these determinants is crucial for designing targeted interventions to enhance the perioperative experience.
Objective: To assess the prevalence of and factors associated with patient dissatisfaction with anesthesia care at Lady Reading Hospital, Peshawar.
Methods: A cross-sectional study was conducted among 128 postoperative patients admitted to the Post-Anesthesia Care Units. Data were collected through structured interviews assessing demographic characteristics, previous anesthesia exposure, communication with the anesthetist, preoperative explanation, understanding of information, waiting times, and postoperative pain management. Descriptive statistics summarized patient characteristics. Associations were examined using chi-square tests, and multivariate logistic regression identified independent predictors of dissatisfaction. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported, and statistical significance was set at p < 0.05.
Results: Out of 128 patients, 62 (48.4%) reported dissatisfaction. Significant predictors included female gender (AOR = 1.92; CI: 1.08–3.42), no formal education (AOR = 2.84; CI: 1.10–7.33), and lack of previous anesthesia experience (AOR = 2.95; CI: 1.52–5.70). Service-related predictors comprised poor preoperative explanation (AOR = 3.42; CI: 1.62–7.20), inadequate understanding (AOR = 2.85; CI: 1.38–5.88), poor communication with the anesthetist (AOR = 4.92; CI: 2.11–11.48), and dissatisfaction with postoperative pain management (AOR = 6.75; CI: 2.84–16.02).
Conclusion: Dissatisfaction with anesthesia care was strongly influenced by demographic variables, the quality of communication, the adequacy of preoperative explanations, and the effectiveness of postoperative pain management. Strengthening patient education, improving communication skills among anesthetists, and enhancing pain management protocols may substantially improve patient experiences in similar healthcare settings.
References
Ahmad I, Gohar E, Iqbal Noor MB, Rehman N, Tayyeb M. 18. Patient satisfaction with anesthesia care services and associated factors in AHQ Hospital Bajaur Agency, KP, Pakistan. Pure and Applied Biology (PAB). 2021 Dec 30;11(2):592-9.
Lakshminarasimhan A, Pilendran S. Assessment of Patients' Satisfaction with Anesthesia Services and Its Associated Factors at a Teaching Hospital in South India: A Cross-Sectional Study. Archives of Anesthesiology and Critical Care. 2022 Jul 29;8(4):280-7.
Baig UA, Shafiq F. A survey related to patients’ satisfaction about anaesthetic care at a tertiary care center in Pakistan. Pakistan Journal of Medical Sciences. 2025 Nov 3;41(11):3234-9.
Alnashri YM, Alfaqih OY, Buhaliyqh MA, Mossery RA, Alamri IR, Mahfouz NA, Alsifsafi NH, Alzubaidi ZA, Alfaifi SS, Sadaqa AS, Alnashri SM. Patient satisfaction and its predictors with perioperative anesthesia care at two general hospitals in Southwestern Saudi Arabia. Cureus. 2023 Jan 16;15(1).
Shahbaz MA, Abdullah M, Rizwan M, Amin N. Evaluation of Patient satisfaction level and its Predictor with Pre-Operative Anesthesia Careat Ali Fatima Hospital, Lahore. International Journal of Healthcare Professions. 2024 Mar 30:2-6.
Siraneh AG, Dendir G, Paulos K. Factors associated with patient satisfaction in perioperative anesthesia care at Hawassa university comprehensive specialized hospital, Ethiopia. Cross-sectional study design. International Journal of Surgery Open. 2020 Jan 1;26:114-8.
Berhanu Y. Satisfaction of patient with anesthetic service provided by health professional. Surgical Department, Dilla University Referal Hospital, Gedeo Zone, South Ethiopia. 2020:1-8.
Garaniya RR, Mehta P, Shiyal K, Mehta K. Patient satisfaction with anaesthesia services at the tertiary care hospital, a cross-sectional study patient satisfaction and anesthesia services. Serbian J Anesth Intensive Therapy. 2020;42:139-45.
Chalasani SH, Gurudatt CL, Ramesh M. Patient satisfaction, outcomes and experience measures in patients receiving general anaesthesia: A prospective questionnaire based observational study. Indian Journal of Anaesthesia. 2022 Mar 1;66(3):224-8.
GEORGE M, Kiran N, Ravi M. Patient Satisfaction with Anaesthesia: Perioperative Questionnaire versus Face-to-face Survey. Journal of Clinical & Diagnostic Research. 2023 Jan 1;17(1).
Chua GCC, Cyna AM. Satisfaction measures in pediatric anesthesia and perioperative care. Paediatr Anaesth. 2021;31(7):746-54.
Roche A, Simon M, Bouaziz H, Poussel M, Sirveaux F, Adam I, et al. Quality of Preanesthesia Teleconsultation: The TELECAM Randomized Controlled Trial. Telemed J E Health. 2024;30(8):e2300-e10.
Muhly WT, Wohler B, Nelson MN, Tan JM, Barg FK, England W, et al. A Qualitative Assessment of Factors That Children, Parents, and Clinicians Prioritize in the Setting of Elective Anesthesia and Surgery. Anesth Analg. 2021;132(4):1067-74.
Huang J, Yang J, Han M, Xue Z, Xu M, Qi H, et al. Psychometric evaluation of patient-reported experience measures for peri-anesthesia care: A systematic review based on COSMIN guidelines. Int J Nurs Stud. 2025;161:104930.
Ng YL, Segaran S, Yim CCW, Lim BK, Hamdan M, Gan F, et al. Preoperative free access to water compared to fasting for planned cesarean under spinal anesthesia: a randomized controlled trial. Am J Obstet Gynecol. 2024;231(6):651.e1-.e11.
Wayesa GA, Dinka GL, Birhanu W, Jambo NR. Patient satisfaction and its associated factors with preoperative anesthetic evaluation services at public hospitals in Nekemte town, Nekemte, Ethiopia 2024: - cross-sectional study. BMC Anesthesiol. 2025;25(1):470.
Yahagi M, Hiruta R, Miyauchi C, Tanaka S, Taguchi A, Yaguchi Y. Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety: A Randomized Controlled Trial. J Perianesth Nurs. 2024;39(5):767-71.
Osuga A, Abe T, Sato H, Goto T. Association Between Patient Satisfaction and Preoperative Task-Shifting From Anesthesiologists to Perianesthesia Nurses: A Questionnaire Survey Study. J Perianesth Nurs. 2023;38(3):421-6.
Verbeek T, Adhikary S, Urman R, Liu H. The Application of Fascia Iliaca Compartment Block for Acute Pain Control of Hip Fracture and Surgery. Curr Pain Headache Rep. 2021;25(4):22.
Duroi Q, Baudet JM, Bigoteau M, Slim M, Pichard T, Pisella PJ, et al. Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study. Sci Rep. 2021;11(1):8311.
Salih YA, Rashid HM, Baeez YK, Hamad KJ. Postoperative Satisfaction of People Attending Kirkuk Hospitals. Bahrain Medical Bulletin. 2022 Sep 1;44(3).
Yeung JT, Chan PL, Cheung CH. A survey of patient satisfaction of obstetric anaesthesia service in Tuen Mun Hospital, Hong Kong. Sri Lankan Journal of Anaesthesiology. 2020 Feb 6;28(1).
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