Introduction: Patient satisfaction is a quality-of-care measure and reveals patients’
appreciation of healthcare delivery. We sought to measure patient satisfaction
following major gynaecological surgeries in 2 University Teaching Hospitals in Yaounde, Cameroon. Methods: This study was a cross-sectional, prospective study over 9 months
(October 1st, 2018, to June 30th, 2019) at the Yaounde Gynaeco-Obstetric and
Paediatric Hospital (YGOPH) and the Yaounde Central Hospital (YCH). By
administering a modified Surgical Satisfaction Questionnaire (SSQ-8) via phone
call 6 months after surgery, we appreciated and scored key aspects linked to
patient satisfaction and obtained information on post-operative complications.
Data were analysed using Microsoft Excel 18 and SPSS 21 setting significance at
p < 0.05. Results: We recruited 72 patients aged 24 to 68 years. Our
participants had a mean satisfaction score of 26 ± 7.854 (59.7% satisfied and
40.3% dissatisfied). All aspects tested on the SSQ-8 questionnaire influenced
patient satisfaction. Patients who said they were satisfied with pain control
after surgery (OR = 0.207 CI = 0.070 - 0.609, p = 0,003), and with surgical
results in the SSQ-8 questionnaire (OR = 0.053, CI = 0.011 - 0.254, p <
0.001) achieved statistically significant post-operative satisfaction.
Contrarily, patients who were dissatisfied with surgery results (OR = 132.000,
CI = 15.256 - 114.131, p < 0.001) and those who developed complications (OR
= 7.922, CI = 2.241 - 28.004, p < 0.001) were significantly dissatisfied
with surgery. Additionally, 47.2% declared a poor post-operative current health
status versus 52.8% who claimed a good post-operative current health status.
Following multivariate analysis, satisfaction with the results of surgery (OR =
0.071, CI = 0.008 - 0.657, p = 0.020) and the occurrence of complications (OR =
7.284, CI = 1.146 - 46.273, p = 0.035) were the main determinants of patient
satisfaction. Patient current health status evolved similarly to patient
satisfaction and especially by satisfaction with time taken to resume work (OR
= 0.039, CI = 0.004 - 0.398, p = 0.006) and pre-operative exercise routine (OR
= 0.038, CI = 0.002
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