Yoseph Tulu ¹ Henok Teshome ² Surafel Mekasha Woldeyes ³ Tadege Haregewoine ¹ Betelhem Asmerom ⁴ Astarekew Alene ⁵ Zeru Seyoum ⁵ Abayneh Tunta ⁵ Hassen Ahmed ^5,6*

• ¹ St. Paul's Hospital Millennium Medical College, Addis Ababa, Addis Ababa, Ethiopia
• ² Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Addis Ababa, Ethiopia
• ³ Internal Medicine, Arsi University, Asella, Oromia, Ethiopia
• ⁴ Internal Medicine, Hawassa University, Awasa, Southern Nations, Nationalities, and Peoples' Region, Ethiopia
• ⁵ Woldia University, Woldiya, Amhara, Ethiopia
• ⁶ College of Health Science, Woldia University, Woldia, Ethiopia

Background Perioperative anesthesia care strives for seamless and comprehensive support from the anesthesia provider, guiding patients through their surgical journey. Assessing patient satisfaction with preoperative anesthesia care and its underlying factors can enhance the overall clinical outcomes for patients. Therefore, this study aimed to determine the satisfaction level of patients with preoperative anesthesia care and its associated factors at St. Paul's Hospital Millennium Medical College (SPHMMC). Methods: A hospital-based cross-sectional study was carried out at SPHMMC, involving 178 patients who underwent elective surgery between January 1, 2020, and January 31, 2020. The study included all adult patients who required anesthesia for their elective surgery. Data were collected using a semi-structured questionnaire. The level of patient satisfaction was evaluated using the Leiden perioperative care Patient satisfaction questionnaire (LPPSq). The collected data was carefully reviewed for completeness, coded, and entered into Epi Data 7.2 software. Subsequently, the data was exported to SPSS version 25 (IBM, USA) for statistical analysis. The strength of the relationship between different independent factors and the level of patient satisfaction was assessed using odds ratios (OR) and 95% confidence intervals (CI). Variables that demonstrated a P-value of less than 0.05 in the multivariate logistic regression analysis were considered statistically significant. Results: The majority of the participants in the study, 122 (68.5%) (95%CI: 61.72%, 75.36%), expressed satisfaction with the preoperative anesthesia care they received at SPHMMC. Additionally, 125(70%) of all participants reported being satisfied with the information provided about perioperative anesthesia care. The study found significant associations between satisfaction with perioperative anesthesia care and certain factors. Education level (AOR=0.2, 95% CI: 0.29-0.45, P=0.002), Discomfort/need (AOR=1.6, 95% CI: 0.0112-3.5431, P=0.05), and fear/concern (AOR=7.6, 95% CI: 3.444-16.951, P=0.001) were significantly associated with perioperative anesthesia care satisfaction. Conclusion: Even though many participants were satisfied with perioperative anesthesia care, satisfaction levels were lower than in other healthcare facilities. Evaluating patient satisfaction with perioperative anesthesia care in fields is crucial, alongside the expansion of education for all, and the introduction of anxiety management strategies. Additionally, creating personalized care plans and providing staff training in emotional support is vital to improving patient satisfaction