术前评估门诊访谈期间进行小组视频教学后提高了术前患者的满意度：台湾某医疗中心的经验

Improved satisfaction of preoperative patients after group video-teaching during interview at preanesthetic evaluation clinic: the experience of a medical center in Taiwan.

作者信息

Yang Ya-Ling, Wang Kuan-Jen, Chen Wei-Hao, Chuang Kuan-Chih, Tseng Chia-Chih, Liu Chien-Cheng

机构信息

Department of Anesthesiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University of Medicine, Kaohsiung, Taiwan, ROC.

出版信息

Acta Anaesthesiol Taiwan. 2007 Sep;45(3):149-54.

PMID:17972617

Abstract

BACKGROUND

Anesthesiologist-directed anesthetic preoperative evaluation clinic (APEC) is used to prepare patients to receive anesthesia for surgery. Studies have shown that APEC can reduce preoperative tests, consultations, surgery delays and cancellations. APEC with video-teaching has been purposed as a medium to provide comprehensive information about the process of anesthesia but it has not been practiced in small groups of patients. It is rational to assume that video-teaching in a small group patients can provide better information to patients to understand the process of anesthesia and in turn improve their satisfaction in anesthesia practice. This study was designed to evaluate the difference of satisfaction between patients who joined in small group video-teaching at APEC and patients who paid a traditional preoperative visit in the waiting area, using questionnaire for evaluation.

METHODS

Totally, 237 eligible patients were included in the study in a space of two months. Patients were divided in two groups; 145 patients joined the small group video-teaching designated as study group and 92 patients who were paid traditional preoperative visit at the waiting area served as control. All patients were requested to fill a special questionnaire after postoperative visit entrusted to two non-medical persons.

RESULTS

There were significantly higher scores of satisfaction in anesthesia inclusive of waiting time for surgery in the operation room, attitude towards anesthetic staffs during postoperative visit and management of complications in patients who were offered small group video-teaching in comparison with patients of traditional preoperative visit.

CONCLUSIONS

The results indicated that APEC with group video-teaching could not only make patients more satisfied with process of anesthesia in elective surgery but also reduce the expenditure of hospitalization and anesthetic manpower.

摘要

背景

麻醉医生主导的麻醉术前评估诊所（APEC）用于让患者为接受手术麻醉做好准备。研究表明，APEC可以减少术前检查、会诊、手术延迟和取消。带有视频教学的APEC旨在作为一种媒介，提供有关麻醉过程的全面信息，但尚未在小部分患者中实践过。有理由认为，对小部分患者进行视频教学可以为患者提供更好的信息，使其了解麻醉过程，进而提高他们对麻醉实践的满意度。本研究旨在使用问卷评估，比较在APEC参加小组视频教学的患者与在等候区进行传统术前访视的患者之间的满意度差异。

方法

在两个月的时间内，共有237名符合条件的患者纳入研究。患者分为两组；145名患者参加小组视频教学， designated as study group and 92 patients who were paid traditional preoperative visit at the waiting area served as control. All patients were requested to fill a special questionnaire after postoperative visit entrusted to two non-medical persons.