Department of Anaesthesiology and Intensive Care Medicine, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Br J Anaesth. 2011 Nov;107(5):703-9. doi: 10.1093/bja/aer261. Epub 2011 Aug 19.
'Continuity of personal care by anaesthetist', as defined by a single anaesthetist providing preoperative evaluation, performing anaesthesia, and delivering a postoperative visit to the patient, has been shown to be a major factor for patient satisfaction with anaesthesia care. This prospective randomized study investigated whether a single postoperative visit increased the patient's perception of 'Continuity of personal care by anaesthetist' and hence satisfaction.
In Group 1, the same anaesthetist who conducted anaesthesia visited the patient on the first postoperative day. In Group 2, a nurse anaesthetist who did not participate in anaesthesia delivery made a postoperative visit to the patient. Patients in Group 3 were not visited. Patients received a previously validated questionnaire after discharge from hospital.
The negative patient response created by the perception of not being visited after operation by the attending anaesthetist was 13.5% (95% CI ± 6.9), 69.2% (95% CI ± 10.3), and 77.1% (95% CI ± 9.1) in Groups 1, 2, and 3, respectively, with 1 vs 2 and 1 vs 3 (P < 0.001) being significantly different. The negative patient response for 'Continuity of personal care by anaesthetist' was 40.0% (95% CI ± 5.3), 48.8% (95% CI ± 5.6), and 55.5% (95% CI ± 5.3) in Groups 1, 2, and 3, respectively, with 1 vs 3 (P < 0.001) being significantly different.
Perception of the anaesthetist and satisfaction with 'Continuity of personal care by anaesthetist' were significantly increased by the introduction of a single postoperative visit by the anaesthetist compared with no visit at all. Overall satisfaction with anaesthesia was unchanged.
由同一位麻醉医师提供术前评估、进行麻醉并对患者进行术后访视的“麻醉医师个人照护的连续性”已被证明是患者对麻醉护理满意度的一个重要因素。本前瞻性随机研究旨在调查单次术后访视是否会增加患者对“麻醉医师个人照护的连续性”的感知，从而提高其满意度。
在第 1 组中，进行麻醉的同一位麻醉医师在术后第 1 天对患者进行访视。在第 2 组中，未参与麻醉实施的护士麻醉师对患者进行术后访视。第 3 组患者未接受访视。患者在出院后接受了一份先前经过验证的问卷。
患者对未接受主诊麻醉医师术后访视的感知导致的负面反应率分别为 13.5%（95%CI ± 6.9）、69.2%（95%CI ± 10.3）和 77.1%（95%CI ± 9.1），第 1 组与第 2 组和第 1 组与第 3 组之间的差异具有统计学意义（P<0.001）。第 1 组、第 2 组和第 3 组中，患者对“麻醉医师个人照护的连续性”的负面反应率分别为 40.0%（95%CI ± 5.3）、48.8%（95%CI ± 5.6）和 55.5%（95%CI ± 5.3），第 1 组与第 3 组之间的差异具有统计学意义（P<0.001）。
与完全不访视相比，由麻醉医师进行单次术后访视显著增加了患者对麻醉医师的感知和对“麻醉医师个人照护的连续性”的满意度。麻醉整体满意度保持不变。
