Manani G, Facco E, Favero G, Favero L, Mazzoleni S, Stellini E, Berengo A, Mazzuchin M, Zanette G
Unit of Dental Anesthesia, University of Padua, Padua, Italy.
Minerva Stomatol. 2010 Sep;59(9):489-506.
The research regards information on anesthesia to patients undergoing oral surgery. Every patient evaluated the information received at the end of the preoperative visit and in the postoperative period.
One hundred-fifty dental patients were asked about the most appreciated information received in the preoperative visit on the anxiolytic technique, local anesthesia and treatment of the perioperative pain. Afterwards the patients had to report on their reaction to the content of the preoperative visit and information quality. On a phone interview they had to evaluate their appreciation of the anxiolytic technique, their perception during loco-regional anesthesia and incidence of pain and edema.
The most appreciated details were those on the intervention, pharmacologic treatment, postoperative complicances, postoperative pain and operative competence; less appreciated were those on loco-regional anesthesia, duration of the intervention, anxiolytic techniques, hospital reception and permanence in the hospital. Ninety-eight percent of the patients considered to have been adequately informed on a context judged to be extraordinary (99.3%), 96.6% indicated the information as necessary, 98.6% appreciated the treatment of the intraoperative and postoperative (99.3%) pain and 99.3% the anxiolytic treatment. On the telephone interview, 100% of patients expressed satisfaction for the experienced intraoperative tranquillity, 91.3% complained for not having received in the past a similar preoperative visit, 99.3% wished a diffused application of the information. The loco-regional anesthesia was associated to psychological detachment in 84% of the cases and the incidence of postoperative pain was of 36%.
The information on the anxiolytic techniques, loco-regional anesthesia, treatment of perioperative pain and postoperative distress was enthusiastically accepted and albeit initially induced feelings of astonishment resulted to be appreciated and preferred in the whole of the patients.
本研究关注口腔外科手术患者的麻醉信息。每位患者在术前访视结束时及术后对所获信息进行评估。
向150名牙科患者询问他们在术前访视中最欣赏的关于抗焦虑技术、局部麻醉和围手术期疼痛治疗的信息。之后，患者需报告他们对术前访视内容及信息质量的反应。在电话访谈中，他们要评估对抗焦虑技术的满意度、局部区域麻醉时的感受以及疼痛和水肿的发生率。
最受欣赏的细节是关于手术干预、药物治疗、术后注意事项、术后疼痛和手术操作能力的信息；对局部区域麻醉、手术持续时间、抗焦虑技术、医院接待和住院时间的信息欣赏程度较低。98%的患者认为在一个被认为特殊的情况下已得到充分告知（99.3%），96.6%的患者表示这些信息是必要的，98.6%的患者对术中及术后（99.3%）疼痛的治疗表示满意，99.3%的患者对抗焦虑治疗满意。在电话访谈中，100%的患者对术中体验到的平静表示满意，91.3%的患者抱怨过去没有接受过类似的术前访视，99.3%的患者希望广泛应用这些信息。84%的病例中局部区域麻醉与心理放松有关，术后疼痛发生率为36%。
关于抗焦虑技术、局部区域麻醉、围手术期疼痛治疗和术后不适的信息受到患者热烈欢迎，尽管最初会引发惊讶之感，但最终在所有患者中都得到了认可和青睐。
