| Abstract | Cilj istraživanja: Utvrditi stav ispitanika prema OA i RA, zadovoljstvo nakon iskustva OA ili RA, razliku u stupnju zadovoljstva nakon OA u odnosu RA te čimbenike koji utječu na ocjenu ukupne anestezijske skrbi. Nacrt studije: Presječna studija. Ispitanici i metode: Ispitanici su pacijenti liječeni u KBC Osijek u razdoblju od 1. 2. do 30. 4. 2018. Kriterij uključivanja je planirana operacija na gornjim i donjim udovima te genito-urinarnom području izvodiva u OA ili RA. Nisu uključeni hitni pacijenti, rodilje i osobe s kognitivnim smetnjama. Relevantni podatci prikupljeni su putem anonimnog upitnika. Rezultati: Podijeljeno je 288, a vraćeno 240 ispunjenih upitnika. Većina (62,5 %) sudionika izjasnila se za OA s razlikom među pripadnicima različitih odjela. Ispitanici s ortopedije (63,9 %) odabrali bi RA, 51,1 % sudionika s traumatologije OA, a 48,9 % RA. Ispitanici s vaskularne kirurgije, urologije i ginekologije odabrali bi OA (69 %, 80,5 %, 85,7 %). Zadovoljstvo anestezijskom skrbi sudionici su iskazali ocjenom 4 (24,2 %) i 5 (69,2 %). Nakon iskustva s anestezijom 61,7 % ispitanika ponovo bi odabralo OA. Zaključak: Više od 60 % ispitanika podržava OA. Iskustvo i okruženje utječu na njihov stav prema OA i RA. Ispitanici s ortopedije i ranijim iskustvom RA, odabrali bi RA. Sudionici s traumatologije bi, neovisno o iskustvu prihvatili OA i RA, a ispitanici s odjela na kojima je manje zastupljena RA, odabrali bi OA.Više od 90% ispitanika pokazalo je visok stupanj zadovoljstva anestezijskom skrbi. Obaviještenost, mogućnost sudjelovanja u izboru anestezije, psihološka potpora i pojavnost neželjenih događaja povezanih s anestezijom utjecali su na ocjenu ukupne anestezijske skrbi. |
| Abstract (english) | Objectives: To establish the attitude of the respondents towards general anaesthesia (GA) and regional anaesthesia (RA), satisfaction after undergoing GA or RA, difference in satisfaction level after GA in contrast to RA and to determine the factors which affect the assessment of the overall anaesthetic management. Study design: A cross-sectional study. Participants and methods: The participants are patients treated at the Clinical Hospital Centre Osijek in the period from 1 February to 30 April 2018. The inclusion criterion for participation in the study is a scheduled surgical procedure in the upper and lower extremities and the area of the genitourinary system which can be performed under GA or RA. Emergency patients were not included, neither were parturients and persons with cognitive impairments. Relevant data was acquired by means of an anonymous questionnaire. Results: Out of 288 questionnaires, 240 have been completed. The majority (62.5%) of the respondents was in favour of GA with variations among the patients of different departments. Orthopaedics respondents (63.9%) would opt for RA while 51.1% of the traumatology respondents would opt for GA and 48.9% for RA. Vascular surgery, urology and gynaecology respondents would opt for GA (69%, 80.5%, 85.7% respectively). The respondents rated anaesthetic management satisfaction with assessment marks 4 (24.2%) and 5 (69.2%). After having experienced anaesthesia, 61.7% of the respondents would opt for GA again. Conclusion: More than 60% of the participants supports GA. Experience and surroundings affect their attitude towards GA and RA. The orthopaedics patients who had prior experience with RA would opt for RA again. The traumatology patients, regardless of their prior experience, would accept GA as well as RA, while the patients from departments where RA is less common would opt for GA. More than 90% of the participants expressed a high level of satisfaction regarding anaesthetic management. Access to information about anaesthesia, possibility to participate in the selection of anaesthesia type, psychological support and the occurrence of unwanted events associated with the use of anaesthesia affected the total assessment mark of the overall anaesthetic management. |
