Dissatisfaction of Patients Operated under Rachi Anaesthesia: Study of the Experience of Patients Treated at the Chu De Yopougon (Cote D'ivoire)

Isidore Koffi Kouamé; N'Guessan Yapi Francis; Nkan Michael Paterne Mobio; Kouesseu Judith Bouh; Klinna Theodore Coulibaly; Kouassi Jean Konan; Lacina Soro

doi:10.18502/aacc.v8i3.9613

Isidore Koffi Kouamé Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
N'Guessan Yapi Francis Department of Critical Care, Angré University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Nkan Michael Paterne Mobio Department of Critical Care, University Hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Kouesseu Judith Bouh Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Klinna Theodore Coulibaly Department of Critical Care, University Hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Kouassi Jean Konan Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.
Lacina Soro Department of Critical Care, Yopougon University Hospital, University of Abidjan Medical Sciences, Abidjan, Ivory Cost.

DOI: https://doi.org/10.18502/aacc.v8i3.9613

Keywords: Satisfaction; Spinal anaesthesia; Intraoperative comfort

Abstract

Background: To evaluate the satisfaction of patients operated under spinal anaesthesia and to identify its determinants.

Methods: We conducted a prospective analytical study in the hospital wards of the gynaecology-obstetrics, general surgery and traumatology departments of the Yopougon University Hospital in Abidjan (Côte d'Ivoire) over a period of 5 months from February to June 2019.

Results: At the end of the study, 156 patients were selected. The mean age was 38.89±14.28 years with extremes of 19 and 72 years and a sex ratio of 0.8. The unemployed represented 20.41% of the total number of patients. The types of intervention were dominated by caesarean sections with 53.21% of patients. All our patients had a pre-anaesthetic consultation which was carried out by an anaesthetist, however 44.23% were dissatisfied due to anxiety. During the operation, nausea and vomiting were the main sources of discomfort for 25% of patients. Thirst, hunger and pain were the most common discomforts encountered in the ICU by 40.38%, 42.31% and 36.52% respectively. The determinants of dissatisfaction were age over 45 years, female gender of patients. Osteosynthesis of the femur and osteotomy of the tibial plateau were significantly associated with a reduction in dissatisfaction.

Conclusion: Several causes of dissatisfaction remain during spinal anaesthesia. Their management would allow to improve the comfort of our patients, thus the quality of care.