METHODS: Women were invited to complete the Maternal Satisfaction Scale for Caesarean Section (MSCS) and Obstetric Quality of Recovery Score (ObsQoR-11) questionnaires at 24 h after caesarean delivery. Correlations were analysed using Spearman\'s rank tests. Qualitative data were analyzed using thematic content analysis.
RESULTS: Data were collected from 300 women. There was a significant but weak positive correlation between ObsQoR-11 and MSCS scores (r = 0.31, P < 0.001). Correlation was significantly influenced by mode of anaesthesia (P < 0.001) and urgency of procedure (P = 0.005), with greater satisfaction amongst patients receiving spinal anaesthesia and those undergoing scheduled caesarean deliveries for a given QoR score. Quality of communication, interactions with staff and aspects of the postpartum physical environment were significant determinants of satisfaction and dissatisfaction.
CONCLUSIONS: Maternal satisfaction and obstetric QoR are distinct entities with a weak correlation between the two variables. Urgency of procedure and mode of anaesthesia are significant predictors of the correlation between satisfaction and quality of recovery scores. Many of the drivers of satisfaction were modifiable including quality of communication and a comfortable physical space for postpartum recovery.
方法:在剖腹产后24h,邀请女性完成剖宫产产妇满意度量表(MSCS)和产科恢复质量评分(ObsQoR-11)问卷。使用Spearman秩检验分析相关性。使用主题内容分析对定性数据进行分析。
结果:数据来自300名女性。ObsQoR-11与MSCS评分呈显著正相关(r=0.31,P<0.001)。麻醉方式(P<0.001)和手术紧迫性(P=0.005)对相关性有显著影响。对于给定的QoR评分,接受脊髓麻醉的患者和接受定期剖腹产的患者的满意度更高。沟通质量,与员工的互动和产后物理环境方面是满意度和不满意度的重要决定因素.
结论:产妇满意度和产科QoR是不同的实体,两个变量之间的相关性较弱。手术的紧迫性和麻醉方式是满意度与恢复质量评分之间相关性的重要预测因素。许多满意度驱动因素是可以修改的,包括沟通质量和产后恢复的舒适物理空间。