Start Submission Become a Reviewer

Reading: Effective communication at pre-anaesthetic evaluation clinic of a tertiary care hospital: pa...

Download

A- A+
Alt. Display

Research article

Effective communication at pre-anaesthetic evaluation clinic of a tertiary care hospital: patient perspectives and satisfaction

Authors:

Kusha Nag ,

Mahatma Gandhi Medical college, Sri Balaji Vidyapeeth university, Pondicherry, IN
About Kusha
Associate Professor, Anaesthesiology
X close

Dewan Roshan Singh,

Mahatma Gandhi Medical college, Pondicherry, IN
About Dewan Roshan
Associate Professor, Anaesthesiology
X close

V. R. Hemanth Kumar,

Mahatma Gandhi Medical college, Pondicherry, IN
About V. R. Hemanth
Professor, Anaesthesiology
X close

T. Sivashanmugam

Mahatma Gandhi Medical college, Pondicherry, IN
About T.
Professor, Anaesthesiology
X close

Abstract

Background: Effective preoperative evaluation and communication with the patient is key to favourable perioperative outcome and patient satisfaction. This observational study aims to evaluate patient perspectives and satisfaction with communication at pre-anaesthetic evaluation clinic (PAC) of a tertiary care hospital.


Methodology: All patients attending PAC during a period of three months were encouraged to fill a questionnaire and submit it in a drop box at the time of leaving the clinic. Responses were entered on a Microsoft excel sheet and analysed at the end of three months.

Results: Out of 600 questionnaires distributed, with a response rate of 78.8%, 443 were subjected to statistical analysis after excluding the incompletely filled questionnaires. 44.9% patients had difficulty in locating PAC. 11.2% patients reported a waiting period of more than 20 minutes. Purpose of PAC was known to only 19.38% of patients prior to attending PAC. Only 38.83% patients were given an option to choose an anaesthetic technique. While 51.91% patients were explained the anaesthetic risk, 62.75% and 42.59% patients were explained surgical risk and risk associated with their comorbid condition respectively. 57% patients were explained about postoperative pain relief and given fasting instructions. 70.65% patients felt less anxious after visiting an anaesthesiologist while 73% patients felt that all their questions were adequately answered by the attending anaesthesiologist. 43.3% patients were not accepted as fit for anaesthesia in first PAC visit.

Conclusion: Patients presenting in PAC had poor prior knowledge about the purpose of PAC. Fewer patients were provided information on anaesthetic techniques available to choose from. Overall satisfaction in terms of reduction in anxiety and being adequately answered by anaesthesiologist at PAC was found to be good in our hospital.

How to Cite: Nag, K., Singh, D.R., Kumar, V.R.H. and Sivashanmugam, T., 2018. Effective communication at pre-anaesthetic evaluation clinic of a tertiary care hospital: patient perspectives and satisfaction. Sri Lankan Journal of Anaesthesiology, 26(2), pp.89–93. DOI: http://doi.org/10.4038/slja.v26i2.8285
Published on 14 Jul 2018.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus