Aplicación de una estrategia educativa en la calidad de atención anestésica en pacientes que fueron intervenidos en cirugía electiva

Introduction: The term Anesthesia refers to the temporary absence of sensitivity in a part or all of our body, all of this, caused by the effect of a drug or secondary to a disease. Therefore, it is vitally important that patients are well informed before undergoing a surgical-anesthetic procedure, which will provide greater comfort and a satisfactory perception of the quality of care during their surgery. Objective: To evaluate the impact of an educational strategy on the quality of anesthetic care in patients undergoing elective surgery. Materials and methods: A quasi-experimental, descriptive, longitudinal study was conducted over a period of one year at the General Hospital of Zone 20, in patients over 18 years of age, scheduled for elective surgery, with general or regional anesthesia and who meet an ASA I to ASA III physical status, who agree to participate in the study and sign the informed consent. An infographic will be used, including basic information about the different anesthetic methods used in elective surgery. This information will be briefly presented to the patient before the surgical procedure. The CPCA (Anesthesia Quality Perception Questionnaire) will then be administered during post-anesthesia care in the post-anesthesia care unit to measure the quality of anesthetic care. The results were analyzed using descriptive and inferential statistics. Results: The quality of hospital care in the Anesthesiology Service at Zone No. 20 General Hospital ranged from Excellent (76.9%), Good (16%), Fair (3.6%), and Poor (3.6%). Comparatively, when analyzing the quality of care for patients who received a pre-anesthesia visit in the consultation room (95.9%), the quality of care in the anesthesiology service was found to be Excellent (4.6%), Good (14.8%), Fair (3%), and Poor (3.6%). Respectively, it was found that there is an improvement in the Quality of hospital care directly proportional to the type of anesthesia used, in these cases General Anesthesia and Regional Anesthesia yielded the following results: Excellent Quality of care with General Anesthesia 41.4% and Regional Anesthesia 35.5%, Good with General Anesthesia 0.6% and Regional Anesthesia 15.4%, Regular with General Anesthesia 0.6%, and Regional Anesthesia 0.3%, and Poor with General Anesthesia 0.6%, and Regional Anesthesia 3%. Conclusion: When analyzing the statistical data, correlating them with an improvement in the Quality of anesthetic care in those patients who received a pre-anesthetic visit in the office, the results are not satisfactory, that is, a significant value is not found to be able to infer that there was an improvement in the quality of care with the application of an educational strategy. However, significant value is found in the improvement in the quality of anesthetic care directly proportional to the type of anesthesia prescribed, which led us to infer that the true impact of anesthetic quality lies not in an educational strategy or in the preanesthetic visit, but rather focuses directly on the type of anesthesia selected and how well the postoperative needs of the patient’s undergoing surgery are met.