Harms Christoph, Nübling Matthias, Langewitz Wolf, Kindler Christoph H
Department of Anesthesia, Hirslanden Klinik Aarau, CH-5001 Aarau, and Division of Psychosomatic Medicine/Internal Medicine, University Hospital Basel, Switzerland.
J Clin Anesth. 2007 Feb;19(1):9-14. doi: 10.1016/j.jclinane.2006.04.004.
To evaluate patient acceptability of continued versus divided anesthetic care.
Patient satisfaction ratings with continuous and divided anesthetic care were assessed by patient questionnaire. In addition, the effect of training anesthesia personnel in communication regarding divided anesthesia care was examined.
University medical center.
654 consecutive patients scheduled for elective surgery.
Overall postoperative patient satisfaction was high and not different between patients experiencing continued or divided anesthetic care (P=0.97). Asking patients before their operations about the importance of continued anesthetic care resulted in a highly significant difference between the two groups. In the continued anesthetic care model, patients felt it more important to experience continued care. In contrast, patients who were told that another anesthesiologist would take care of them rated the same question with a lower importance (P<0.001).
Before their operations, more than half of the patients felt it very important that they were visited and anesthetized by the same physician. Nevertheless, postoperative patient satisfaction was equally high regardless of whether they were anesthetized by the same physician who had visited them preoperatively.
评估患者对持续麻醉护理与分段麻醉护理的接受程度。
通过患者问卷评估患者对持续麻醉护理和分段麻醉护理的满意度。此外,还研究了对麻醉人员进行关于分段麻醉护理沟通培训的效果。
大学医学中心。
654例连续接受择期手术的患者。
术后患者总体满意度较高,接受持续麻醉护理或分段麻醉护理的患者之间无差异(P = 0.97)。在手术前询问患者持续麻醉护理的重要性,两组之间存在高度显著差异。在持续麻醉护理模式下,患者认为持续护理更重要。相比之下,被告知会由另一位麻醉医生护理的患者对同一问题的重要性评分较低(P < 0.001)。
手术前,超过一半的患者认为由同一位医生进行访视和麻醉非常重要。然而,无论他们是否由术前访视他们的同一位医生进行麻醉,术后患者满意度同样高。