Research Article

Dissatisfaction of Patients Operated under Rachi Anaesthesia: Study of The Experience of Patients Treated at the Chu De Yopougon (Cote D'ivoire)

Abstract

Background: To evaluate the satisfaction of patients operated under spinal anaesthesia and to identify its determinants.
Methods: We conducted a prospective analytical study in the hospital wards of the gynaecology-obstetrics, general surgery and traumatology departments of the Yopougon University Hospital in Abidjan (Côte d'Ivoire) over a period of 5 months from February to June 2019.
Results: At the end of the study, 156 patients were selected. The mean age was 38.89±14.28 years with extremes of 19 and 72 years and a sex ratio of 0.8. The unemployed represented 20.41% of the total number of patients. The types of intervention were dominated by caesarean sections with 53.21% of patients. All our patients had a pre-anaesthetic consultation which was carried out by an anaesthetist, however 44.23% were dissatisfied due to anxiety. During the operation, nausea and vomiting were the main sources of discomfort for 25% of patients. Thirst, hunger and pain were the most common discomforts encountered in the ICU by 40.38%, 42.31% and 36.52% respectively. The determinants of dissatisfaction were age over 45 years, female gender of patients. Osteosynthesis of the femur and osteotomy of the tibial plateau were significantly associated with a reduction in dissatisfaction.
Conclusion: Several causes of dissatisfaction remain during spinal anaesthesia. Their management would allow to improve the comfort of our patients, thus the quality of care.

[1] Empereur F. Enquête de satisfaction au CHU de Nancy. février 2009; https://slideplayer.fr/slide/9044/
[2] Linder-Pelz SU. Toward a theory of patient satisfaction. Soc Sci Med. 1982; 16(5): 577-82.
[3] Hudak PL, Wright JG. The characteristics of patient satisfaction measures. Spine. 2000; 25(24): 3167-77.
[4] Loréne.O, Quid de la satisfaction des patients sur la prise en charge anesthésique en chirurgie ambulatoire ; Mémoire professionnel 2015. CHU de Poitier, France; http://www.chu-poitiers.fr › Lorène-ORY-2015
[5] Auquier P, Pernoud N, Bruder N, Simeoni MC, Auffray JP, Colavolpe C, et al. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology. 2005; 102(6):1116-23.
[6] Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur. 2009; 22(4):366-81.
[7] Lagant C, Sukami M, Fournier C, Delafosse C, Lebail M, Galand P, et al. Vécu et souvenir des patients par rapport à leur prise en charge au bloc opératoire et en salle de surveillance post-interventionnelle. Ann Fr Anesth Réanim. 2014; 33(2):A416–A417.
[8] Essola L, Obame R, Mandji L. Pratiques anesthésique au bloc opératoire de Gynecologie-obstetrique du CHU de Libreville. Rev Afr anesth Med Urg. 2014: 19(1)
[9] Asehnone K, Ablaladejo P, Smail N. Information et anesthésie : que souhaite le patient ? Ann Fr Anesth Réanim. 2000; 19:577-81
[10] Amouroux R, Rousseau-Salvador C, Annequin D. L’anxiété préopératoire: manifestations cliniques, évaluation et prévention. Annales Médico-Psychologiques, Revue Psychiatrique.2010 ;168(8), 588–592.
[11] Foggitt PS. Anxiety in cataract surgery: pilot study. J Cataract Refract Surg. 2001; 27(10): 1651-1655
[12] Fischer MO, Dequiré PM, Kalem A, Gérard JL, Plaud B. Hypothermie après rachianesthésie : rôle de la morphine ? Ann Fr Anesth Réanim. 2006; 25(3): 296-8.
[13] Allen TK, Muir HA, George RB, Habib AS. A survey of the management of spinal-induced hypotension for scheduled cesarean delivery. Int J Obstet Anesth. 2009; 18(4):356-61.
[14] Vigneau F, Loupec T, Frasca D, Mimoz O, Debaene B. Délais de jeûne postopératoire : état des lieux des pratiques françaises. Ann Fr Anesth Réanim. 2014, 33(2): A160-A161
[15] Saini S, Dayal M. Preoperative Anxiety in Indian Surgical Patients-Experience of a Single Unit. Indian J Appl Res. 2016; 6: 476–9.
[16] Conférence d’actualisation 1997, SFAR, Elsevier, paris, p 135-44.
[17] Brou Y, Tetchi Y, Peté Y, Ouattara A, Abhé Ch, Coulibaly KT, et al. Enquête multicentrique sur la pratique des analgésies post opératoire dans les hôpitaux d’Abidjan, Rev Afr anesth Med Urg. 2012, 17(2).
[18] Diemunsch P. Expert conference – Short text. [Management of postoperative nausea and vomiting], Ann Fr Anesth Réanim. 2008; 27: 866-878.
[19] Fujii Y, Tanaka H, Toyooka H. Granisetron-dexamethasone combination reduces postoperative nausea and vomiting. Can J Anaesth. 1995; 42(5 Pt 1):387-90.
[20] Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto CW, Adamatti LC, et al. Risk factors for postoperative anxiety in adults. Anaesthesia. 2001; 56(8):720-8.
[21] Beydon L, Dima CE. Anxiété périopératoire : évaluation et prévention. Prat Anesth Reanim. 2007; 13: 161-70
[22] Mackenzie JW. Daycase anaesthesia and anxiety. A study of anxiety profiles amongst patients attending a day bed unit. Anaesthesia. 1989; 44(5):437-40.
[23] Fillingim RB. Individual differences in pain responses. Curr Rheumatol Rep. 2005; 7(5): 342-7.
[24] Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol. 2018; 18(1):155.
[25] Kiyohara LY, Kayano LK, Oliveira LM, Yamamoto MU, Inagaki MM, Ogawa NY, et al. Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin Fac Med Sao Paulo. 2004; 59(2):51-6.
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IssueVol 8 No 3 (2022): Summer QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/aacc.v8i3.9613
Keywords
spinal anaesthesia intraoperative comfort Satisfaction
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How to Cite
1.
Kouamé I, Francis N, Mobio NM, Bouh K, Coulibaly K, Konan K, Soro L. Dissatisfaction of Patients Operated under Rachi Anaesthesia: Study of The Experience of Patients Treated at the Chu De Yopougon (Cote D’ivoire). Arch Anesth & Crit Care. 2022;8(3):213-218.