Abstract：
BACKGROUND: Patient satisfaction and quality of recovery (QoR) are important patient-reported outcomes and quality metrics. The relationship between these two outcomes is complex, with studies showing a weak correlation between them in the non-obstetric population. We sought to evaluate the correlation between patient satisfaction and QoR scores in the obstetric population after caesarean delivery. As secondary aims, we aimed to determine the influence of urgency of procedure and mode of anaesthetic on patient satisfaction and QoR scores as well as determining drivers of satisfaction and dissatisfaction.
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.
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.
摘要：
背景：患者满意度和康复质量（QoR）是重要的患者报告结果和质量指标。这两种结果之间的关系是复杂的，研究表明，在非产科人群中，它们之间的相关性较弱。我们试图评估剖腹产后产科人群患者满意度与QoR评分之间的相关性。作为次要目标，我们的目的是确定手术的紧迫性和麻醉方式对患者满意度和QoR评分的影响,以及确定满意度和不满意度的驱动因素.
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。
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。
