Hering Keith, Harvan Jeffery, Dangelo Matthew, Jasinski Donna
Kaiser Permanente, San Francisco, CA, USA.
AANA J. 2005 Feb;73(1):29-33.
Scheduled surgery can often be a stressful time for patients. While anesthesia providers give a full explanation of care to the patient, research suggests that anxiety and time constraints imposed by the system may hinder the amount and quality of information provided. Use of technology to augment dissemination of information may have an impact. The purpose of this study was to determine the impact of a website on: (1) preoperative patient education, (2) patient anxiety, and (3) patient satisfaction with anesthesia care. The week prior to surgery, 64 ASA class I and II subjects at a 350-bed urban university affiliated hospital completed a demographic questionnaire, State Trait Anxiety Inventory (STAI) and modified Standard Anesthesia Learning Test (mSALT), and the experimental group was given website information. On the day of surgery, all subjects completed the STAI and mSALT. Before discharge, subjects rated satisfaction. The experimental group had a significant increase in posttest mSALT scores (P = .004). Neither the experimental nor the control group had a significant change in posttest state anxiety (P = .279 and .762) or trait anxiety (P = .823 and.570). The experimental group differed significantly from the control group in satisfaction with teaching (P = .019).
择期手术对患者来说往往是一段压力较大的时期。虽然麻醉医护人员会向患者全面解释护理情况,但研究表明,系统带来的焦虑和时间限制可能会妨碍所提供信息的数量和质量。利用技术来加强信息传播可能会产生影响。本研究的目的是确定一个网站对以下方面的影响:(1)术前患者教育;(2)患者焦虑程度;(3)患者对麻醉护理的满意度。手术前一周,一所拥有350张床位的城市大学附属医院的64名ASA I级和II级受试者完成了一份人口统计学调查问卷、状态特质焦虑量表(STAI)和改良标准麻醉学习测试(mSALT),实验组被提供了网站信息。手术当天,所有受试者完成了STAI和mSALT。出院前,受试者对满意度进行了评分。实验组的测试后mSALT分数显著提高(P = 0.004)。实验组和对照组的测试后状态焦虑(P = 0.279和0.762)或特质焦虑(P = 0.823和0.570)均无显著变化。实验组在教学满意度方面与对照组有显著差异(P = 0.019)。