Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Abstract

Objectives Vietnamese patients' views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients' impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patientcentered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24 h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting the patients' perceptions of anesthesia safety, postoperative symptoms, and pain was examined using multiple logistic regression analysis.Results The perception of a low level of anesthesia safety by 105 patients (59%) was associated with a low satisfaction in terms of preoperative anesthesia education [odds ratio (OR) 15.03], poor interaction with family (OR 21.80), and absence of perioperative adverse effects (OR 6.10). The occurrence of three or more postoperative symptoms (59%) was associated with a surgery C3 h (OR 2.00). Severe pain at 2 h (25%) post-surgery was associated with male gender (OR 2.08) and open surgery (OR 3.30), no reduction in pain at 24 h (51%) was associated with female gender (OR 2.08), and experiencing as much or more pain than expected (46%) was associated with blood loss C100 ml (OR 1.04) and low satisfaction with staff communication (OR 1.90). Conclusion Our results suggest that facilitating patients' communication with staff and families and paying attention to gender differences in pain management are important factors to take into consideration when the aim is to improve perioperative care in the rapidly developing healthcare environment of Vietnam.

Patient and Physician Perceptions of Changes in Surgical Care in Mongolia 9 Years After Roll‐out of a National Training Program for Laparoscopy

“…However, half of the sample expressed fears toward surgery, including pain, incision, death, anesthesia, and unsuccessful surgery. Such fears have been expressed in other studies [7–9].…”

A Bibliometric Analysis of Published Literature in Postoperative Pain in Elderly Patients in Low- and Middle-Income Countries

“…Twenty of them were duplicated and were deleted. After further evaluation of the 60 remaining papers, only 15 were included in the bibliometric data analysis [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The main reasons for exclusion were: 28 articles-age group with adults; 4 articles-the age group with children; 6 articles-had no postoperative pain; 4 articles-evaluated chronic pain; 3 articles-addressed surgical technique and costs.…”

Postnatal depression and associated parenting indicators among Vietnamese women

“…On a cultural note, expressing emotions is considered a personal weakness in Vietnam and people therefore do not discuss their emotional and physical complaints (Carragee et al ., ), which may have led to underreporting of psychological distress in this study (McKelvey and Webb, ) as well as under‐treatment of medical conditions (Streltzer and Wade, ; Soejima et al ., ). With these observations in mind, the high proportion of mothers who lack confidence in childrearing requires further investigation using multiple methods such as a multi‐item questionnaire and qualitative analysis.…”