title: Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale.
abstract: OBJECTIVE
  To set up and validate a patient satisfaction questionnaire based on Iowa Satisfaction in Anesthesia Scale (ISAS) for evaluating the degree of patient satisfaction in anesthesia.
  
  
  METHODS
  We established and validated a survey questionnaire of 13 questions measuring the following dimensions adequacy of patient information; participation in decision making, nurse patient relation, accessibility of communication with the anesthesiologist, patient fear and anxiety and the post anesthesia care management. The process passed through three steps: instrument validation, survey conduction and data analysis. Cronbach's alpha was used to measure the reliability and standard psychometric techniques were used to measure instrument validity.
  
  
  RESULTS
  Our modified instrument shows good reliability which is obvious with a Cronbach's alpha value of 0.72 and all the perspectives of validity (face, content and construct). Also, 173 (21.54%) patients achieved an overall satisfaction score of less than 85% female patients are were less satisfied than male patients. Educated patients were less satisfied, and those belonging to ASA group I and II were significantly less satisfied. Dimensions pinpointed are related to information and decision making, adverse events in recovery room, fear and anxiety contributed to patient dissatisfaction.
  
  
  CONCLUSIONS
  The instrument used for the evaluation of patient satisfaction in anesthesia is a valid tool for the Arabic speaking patients. There is room for improvement in the anesthesia care, mainly in the dimension of information, decision making and postoperative anesthesia care.
authors.affiliation: Facharzt Anesthesia, Hanover, Germany ; Department of Anesthesia, Muhammad Saleh Basharahil Hospital, Makkah, Saudi Arabia.
authors.forename: Dina N
authors.initials: DN
authors.lastname: Baroudi
authors.affiliation: Department of Anesthesia, Muhammad Saleh Basharahil Hospital, Makkah, Saudi Arabia ; Ain Shams University, Cairo, Egypt.
authors.forename: Walid H
authors.initials: WH
authors.lastname: Nofal
authors.affiliation: King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
authors.forename: Nauman A
authors.initials: NA
authors.lastname: Ahmad
keywords: Anesthesia; Iowa satisfaction in Anesthesia Scale; patient satisfaction; questionnaire