Department of Anaesthesiology, Academic Medical Centre, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands.
Br J Anaesth. 2011 Mar;106(3):319-24. doi: 10.1093/bja/aeq360. Epub 2010 Dec 10.
The preoperative visit is an appropriate time to educate the patient on anaesthesia. The aim of this study was to determine if a website, as an information source for anaesthesia before the visit to the preoperative assessment clinic (PAC), increases patients' knowledge on anaesthesia.
A multimedia website was developed containing specific information about anaesthesia relevant to the patient. A questionnaire was developed to measure knowledge gain. Patients were divided into three groups: (i) those who read the existing brochure; (ii) those who looked at the new website; and (iii) a cluster of non-brochure and non-website users: those who did not read the brochure or website but had completed the questionnaire. An anaesthesiologist also informed all three groups during the preoperative visit at the PAC.
Patients visiting the website had a higher educational level than others. A significant increase in knowledge was observed after using the website information compared with the other two groups (P<0.001). The group with higher education levels had higher knowledge gains, and the website independently contributed to the knowledge gain.
A patient-tailored multimedia website is an effective way to support the information provided by the anaesthesiologist in order to inform patients about their upcoming anaesthetic procedure. The use of such a website gives a significant increase in knowledge compared with only spoken information, or spoken information combined with a brochure.
术前访视是向患者提供麻醉相关教育的合适时机。本研究旨在确定术前评估门诊（PAC）就诊前，将网站作为麻醉信息来源是否能增加患者对麻醉的了解。
开发了一个多媒体网站，其中包含与患者相关的特定麻醉信息。开发了一个问卷来衡量知识的获取。患者分为三组：（i）阅读现有宣传册的患者；（ii）查看新网站的患者；以及（iii）非宣传册和非网站使用者组：未阅读宣传册或网站但完成问卷的患者。在 PAC 的术前访视中，麻醉医生还向所有三组患者提供信息。
访问网站的患者教育水平较高。与其他两组相比，使用网站信息后知识明显增加（P<0.001）。教育程度较高的患者知识增益更高，网站独立促进了知识增益。
针对患者的多媒体网站是支持麻醉医生提供信息的有效方式，有助于告知患者即将进行的麻醉程序。与仅口头信息或口头信息结合宣传册相比，使用此类网站可显著增加知识。
