Calman Liviu M, Mihalache Adrian, Evron Shmuel, Ezri Tiberiu
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Clin Anesth. 2003 Sep;15(6):451-4. doi: 10.1016/s0952-8180(03)00111-9.
To assess the patient's understanding and knowledge of the anesthesiologist's role and responsibilities in the operating room and in other areas of hospital activity, and to delineate the effect of previous anesthetic experience on this knowledge.
Prospective study consisting of standard preanesthetic interview and questionnaire survey.
Preoperative anesthetic clinic in a large central private hospital in Israel.
295 adult patients who were seen in the preanesthetic clinic in a 4-week period in May, 2000.
After patients were checked for exclusion criteria and given a standard preanesthetic interview, all adult patients presenting to this clinic were asked to participate in the study and complete a questionnaire, which was later evaluated statistically.
A total of 295 patients (90% response rate) took part in the study. Two hundred (67.8%) patients had previous experience with anesthetics (Group A), and 95 (32.2%) patients presented for the first time for anesthesia (Group B). Ninety-five percent in Group A and 94.7% of Group B believed that the anesthesiologist is a doctor. Ninety-three percent of Group A and 90.5% of Group B answered that the anesthesiologist himself administered the anesthetic drugs. As to the responsibility for the patient's well-being during the operation and postoperatively, opinion was divided equally as to whether the surgeon or the anesthesiologist is responsible. The patients in both groups seemed to be well informed about the way anesthetic drugs act. Only 4% of patients of both groups knew about the anesthesiologist's other duties outside the operation room.
If able to be extrapolated to all of Israel, our results show a high appreciation for the physician status of the anesthesia professional and role in safe recovery. Passive learning from a prior anesthetic experience did not appear to improve such appreciation.
评估患者对麻醉医生在手术室及医院其他活动领域的角色和职责的理解与认识，并阐明既往麻醉经历对这一认知的影响。
前瞻性研究，包括标准的麻醉前访谈和问卷调查。
以色列一家大型中央私立医院的术前麻醉诊所。
2000年5月为期4周内在该术前麻醉诊所就诊的295名成年患者。
在对患者进行排除标准检查并进行标准的麻醉前访谈后，要求所有到该诊所就诊的成年患者参与研究并完成一份问卷，随后对问卷进行统计学评估。
共有295名患者（应答率为90%）参与了研究。200名（67.8%）患者有过麻醉经历（A组），95名（32.2%）患者首次接受麻醉（B组）。A组95%的患者和B组94.7%的患者认为麻醉医生是医生。A组93%的患者和B组90.5%的患者回答是麻醉医生本人给予麻醉药物。至于手术期间及术后对患者健康状况的责任，对于外科医生还是麻醉医生负责，意见分歧均等。两组患者似乎都对麻醉药物的作用方式有充分了解。两组中只有4%的患者了解麻醉医生在手术室之外的其他职责。
如果能够推广至以色列全体人群，我们的结果显示人们高度认可麻醉专业人员的医生地位及其在安全恢复过程中的作用。既往麻醉经历的被动学习似乎并未提高这种认可度。
