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一项关于北京协和医院择期手术患者对麻醉态度的调查。

A survey of elective surgical patients' attitudes toward anesthesia in PUMC hospital.

作者信息

Huang Yuguang, Yang Keqin, Ren Hongzhi, Luo Ailun

机构信息

Department of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.

出版信息

Chin Med Sci J. 2002 Jun;17(2):77-80.

Abstract

OBJECTIVE

To assess patients' knowledge, attitudes, and concerns regarding anesthetic management.

METHOD

A survey of 55 items was developed and administered preoperatively to 500 patients including 190 men and 310 women in our hospital. Patients were interviewed on their knowledge of the role of anesthesiologists, their preferences regarding anesthetic management, and also their concern about potential anesthetic complications.

RESULTS

Patients' perceptions of anesthesiologists' training and role have reached a certain level. Most significant preoperative concerns regarding the anesthesiologists focused on experience, qualifications, and presence or absence during the anesthesia. Patients' concerns also included the possibility of not being waken up following anesthesia, experiencing postoperative pain, and becoming paralyzed. The variations of concerns depended partially on patients' sex, type of anesthesia, and proposed surgical procedure, partially on their education and living environments.

CONCLUSION

It is suggested that anesthesiologist address significant patient concerns during the preoperative visit to enhance their effectiveness in patient care. Efforts to educate the public on the anesthesiologists' role in preoperative care would improve patients' confidence.

摘要

目的

评估患者对麻醉管理的知识、态度和担忧。

方法

设计了一项包含55个项目的调查问卷,并在术前对我院500例患者进行了调查,其中男性190例,女性310例。就患者对麻醉医生作用的了解、对麻醉管理的偏好以及对潜在麻醉并发症的担忧进行了访谈。

结果

患者对麻醉医生培训和作用的认知已达到一定水平。术前对麻醉医生最主要的担忧集中在经验、资质以及麻醉期间是否在场。患者的担忧还包括麻醉后无法苏醒、术后疼痛以及瘫痪的可能性。担忧的差异部分取决于患者的性别、麻醉类型和拟行手术,部分取决于他们的教育程度和生活环境。

结论

建议麻醉医生在术前访视期间解决患者的重大担忧,以提高患者护理的效果。努力向公众宣传麻醉医生在术前护理中的作用将提高患者的信心。

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