The relationship between patient satisfaction and selected variables in ambulatory surgical patients

Yellen, Elaine Anita
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The purpose of this study was to examine the relationship of selected variables (i.e., collection of patient information by the nurse via computer; the patient's preoperative reported anxiety; postoperative pain; satisfaction with pain management; patient satisfaction following pre-admission; age; number of previous hospitalizations; and patient computer use) with patient satisfaction. This study attempted to determine whether (a) the ambulatory surgical patient's reported anxiety changes between the preoperative and postoperative period; (b) there is a difference between the reported anxiety scores of patients treated in computerized or non-computerized hospital settings; and (c) patients with less pain at the time of discharge have how ratings of satisfaction with their pain management.

A descriptive correlational study was conducted in two hospital settings with 130 ambulatory surgical patents. The study hospitals differed in that one was computerized (i.e., the nurse used a computer when collecting and recording patient information) and one was not. Data were collected at pre-admission and postoperatively using the State-Trait Anxiety Inventory (Spielberger, 1982), Patient Data Form, Pain Questionnaire and Patient Satisfaction Instrument (PSI) (Risser, 1975). The PSI was modified for this study. The nurses (N = 16) in the outpatient surgery departments completed the Nurse Demographic Data Form.

The patient sample (N = 130) differed in age and computer use between the two hospitals. The nurse sample differed in the number with computers in their home and satisfaction with nursing. A Spearman rank-order correlation indicated that those patients who reported higher postoperative pain also indicated higher patient satisfaction (rs = .22, p = .01). A point biserial correlation indicated a significant correlation between patient satisfaction and the computerized hospital (r pb = .22, p = .01). The sample in the computerized setting showed a higher mean patient satisfaction. Reported patient anxiety was not significantly different from pre-admission to postoperative period or between the study hospital samples. A Spearman rank-order correlation test suggested that if patients have more postoperative pain, they will rate their satisfaction with pain management lower (rs = −.49, p ≤ .00).

Health and environmental sciences, Anxiety, Pain management, Patient satisfaction, Surgical patients