Abstract：
This evidence review aimed to conceptualize patient satisfaction with anesthesia care (PSAC), which has been linked to reimbursement, competency evaluations, and litigation; to describe factors affecting PSAC; and to develop provider recommendations to enhance PSAC. The search for systematic reviews, survey reports, qualitative studies, and consumer satisfaction reports within the last 20 years excluded pediatric and obstetric articles. The search yielded 27 quantitative, 7 qualitative, and 9 consumer satisfaction articles. High levels of PSAC are reported using a variety of methods. Studies evaluating patient perioperative experiences document that fear and anxiety with prior patient experiences have an impact on anticipatory anxiety. Patients reported desiring positive experiences and emotional connections with anesthesia providers. Modifiable dissatisfiers included anxiety, inadequate explanation of anesthesia, postoperative pain and nausea or vomiting, long surgeries or wait times, and anesthesia complications. Besides providing preoperative information with reasonable expectations (eg, for nausea and vomiting) and treating discomfort, anesthetists must engage emotionally with patients. Measures of PSAC should include the emotional component of PSAC. Future research addressing patient experiences with differing anesthesia methods would be helpful for providers trying to understand and facilitate patient coping.
摘要：
这项证据审查旨在概念化患者对麻醉护理（PSAC）的满意度，这与报销有关，能力评估，和诉讼；描述影响PSAC的因素；并制定提供商建议以增强PSAC。寻求系统评价，调查报告,定性研究，过去20年内的消费者满意度报告排除了儿科和产科文章.搜索产生了27个定量的，7定性，和9篇消费者满意度文章。使用各种方法报道高水平的PSAC。评估患者围手术期经历的研究表明，先前患者经历的恐惧和焦虑对预期焦虑有影响。患者报告希望与麻醉提供者有积极的经历和情感联系。可修改的不满包括焦虑，对麻醉的解释不充分，术后疼痛和恶心或呕吐，长时间的手术或等待时间，麻醉并发症。除了提供合理期望的术前信息（例如，恶心和呕吐)和治疗不适，麻醉师必须在情感上与病人接触。PSAC的测量应包括PSAC的情感成分。未来研究解决患者使用不同麻醉方法的经验将有助于提供者试图理解和促进患者应对。
