Snyder-Ramos Stephanie A, Seintsch Henrik, Böttiger Bernd W, Motsch Johann, Martin Eike, Bauer Martin
*Department of Anesthesiology, University of Heidelberg, Heidelberg, Germany; and †Department of Anesthesiology, Universities of Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Anesth Analg. 2005 Jun;100(6):1753-1758. doi: 10.1213/01.ANE.0000153010.49776.E5.
In this study we compared 3 methods of conducting the preanesthetic visit. We prospectively studied 197 consecutive surgical patients who were to undergo general anesthesia. The patients were randomized to a routine preanesthetic interview, a brochure plus an interview, or a self-made documentary video plus an interview. After the preanesthetic visit, the degree of patient satisfaction and information gain was quantified by a questionnaire for each method. The questions on patient satisfaction were assessed on a six-point scale, and those on information gain were assessed on a multiple-choice basis. The video plus interview group showed the highest point scores (98% of the possible maximum sum point score in patient satisfaction and 93% of the maximum sum score in information gain). In contrast, the patients of the brochure plus interview group revealed 93% for patient satisfaction and 80% for information gain, and in the standard interview group, the corresponding figures were 91% and 72%, respectively. The maximum sum scores in patient satisfaction and information gain were significantly different between the interview and the video groups, but not between the interview and the brochure groups. Therefore, these data suggest that the use of a documentary video to supplement a preoperative interview may enhance patient satisfaction and maximize information gain.
在本研究中,我们比较了3种进行麻醉前访视的方法。我们前瞻性地研究了197例连续接受全身麻醉的外科手术患者。患者被随机分为接受常规麻醉前访谈组、宣传册加访谈组或自制纪录片视频加访谈组。麻醉前访视后,通过问卷对每种方法的患者满意度和信息获取程度进行量化。患者满意度问题采用六点量表进行评估,信息获取问题采用多项选择的方式进行评估。视频加访谈组的得分最高(患者满意度达到可能的最高总分的98%,信息获取达到最高总分的93%)。相比之下,宣传册加访谈组患者的满意度为93%,信息获取率为80%,而在标准访谈组中,相应数字分别为91%和72%。访谈组与视频组在患者满意度和信息获取的最高总分上存在显著差异,但访谈组与宣传册组之间不存在显著差异。因此,这些数据表明,使用纪录片视频来补充术前访谈可能会提高患者满意度并使信息获取最大化。