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ORIGINAL ARTICLE
Year : 2010  |  Volume : 4  |  Issue : 2  |  Page : 85-90

Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale


1 Facharzt Anesthesia, Hanover, Germany; Department of Anesthesia, Muhammad Saleh Basharahil Hospital, Makkah, Saudi Arabia
2 Department of Anesthesia, Muhammad Saleh Basharahil Hospital, Makkah, Saudi Arabia; Ain Shams University, Cairo, Egypt
3 King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Dina N Baroudi
M.S. Basharahil Hospital, Anesthesia department PO Box 10505, Makkah, Saudi Arabia

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0259-1162.73513

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Objectives: To set up and validate a patient satisfaction questionnaire based on Iowa Satisfaction in Anesthesia Scale (ISAS) for evaluating the degree of patient satisfaction in anesthesia. Materials and Methods: We established and validated a survey questionnaire of 13 questions measuring the following dimensions adequacy of patient information; participation in decision making, nurse patient relation, accessibility of communication with the anesthesiologist, patient fear and anxiety and the post anesthesia care management. The process passed through three steps: instrument validation, survey conduction and data analysis. Cronbach's alpha was used to measure the reliability and standard psychometric techniques were used to measure instrument validity. Results: Our modified instrument shows good reliability which is obvious with a Cronbach's alpha value of 0.72 and all the perspectives of validity (face, content and construct). Also, 173 (21.54%) patients achieved an overall satisfaction score of less than 85% female patients are were less satisfied than male patients. Educated patients were less satisfied, and those belonging to ASA group I and II were significantly less satisfied. Dimensions pinpointed are related to information and decision making, adverse events in recovery room, fear and anxiety contributed to patient dissatisfaction. Conclusion: The instrument used for the evaluation of patient satisfaction in anesthesia is a valid tool for the Arabic speaking patients. There is room for improvement in the anesthesia care, mainly in the dimension of information, decision making and postoperative anesthesia care.


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