在术前访视中使用 BATHE 方法。

Use of the BATHE method in the preanesthetic clinic visit.

机构信息

Department of Anesthesiology, The Mount Sinai Medical Center, One Gustave Levy Place, Box 1010, New York, NY 10028, USA.

出版信息

Anesth Analg. 2011 Nov;113(5):1020-6. doi: 10.1213/ANE.0b013e318229497b. Epub 2011 Aug 24.

DOI:10.1213/ANE.0b013e318229497b

PMID:21865495

Abstract

BACKGROUND

In the primary care setting, use of the BATHE (Background, Affect, Trouble, Handling, and Empathy) method of interviewing has been shown to increase patient satisfaction. This technique is a brief psychotherapeutic method used to address patients' physical and psychosocial problems. The BATHE technique has not been evaluated in the perioperative setting as a way of improving patient satisfaction. In this study, we sought to determine whether satisfaction could be enhanced by use of the BATHE technique during the preoperative evaluation by anesthesiologists.

METHODS

Fifty cardiac and 50 general surgery patients were interviewed in the preanesthesia clinic (PAC) of an academic hospital. They were randomly enrolled in the BATHE group or the control group and asked to complete an anonymous satisfaction survey after their visit. This survey was modified from current studies and not validated elsewhere. The relative influence of the BATHE condition was examined as it pertained to interview duration, patient satisfaction, and patient report of the BATHE items being asked.

RESULTS

Ninety-two percent of patients approached by the study group voluntarily enrolled. Patients interviewed using the BATHE method reported being asked about all BATHE questions significantly more often than control patients: t(98)=19.10, P=0.001 (95% confidence interval [CI]=2.59, 3.20). Patients in the BATHE group were more satisfied with their visit to the PAC than those in the control group: t(98)=5.37, P=0.001 (95% CI=0.19, 0.41). The use of the BATHE method did not significantly increase the amount of time physicians spent evaluating patients: t(98)=0.110, P=0.912 (95% CI=-1.519, 1.359).

CONCLUSIONS

Use of the BATHE method in an academic medical center's cardiac and general PAC showed promising results in this preliminary study. A validated and fully developed survey instrument is needed before we can convincingly conclude that the BATHE method is an effective way of improving patient satisfaction.

摘要

背景

在初级保健环境中，使用 BATHE（背景、情感、烦恼、处理和同理心）访谈方法已被证明可以提高患者满意度。这种技术是一种简短的心理治疗方法，用于解决患者的身体和社会心理问题。BATHE 技术尚未在围手术期环境中进行评估，以提高患者满意度。在这项研究中，我们试图确定麻醉师在术前评估期间使用 BATHE 技术是否可以提高满意度。

方法

50 名心脏和 50 名普通外科患者在学术医院的麻醉前诊所（PAC）接受采访。他们被随机分为 BATHE 组或对照组，并在就诊后完成匿名满意度调查。该调查是根据当前研究修改的，尚未在其他地方验证。检查了 BATHE 条件的相对影响，因为它涉及到访谈时间、患者满意度以及患者对被问到的 BATHE 项目的报告。

结果

研究组 92%的患者自愿参加。使用 BATHE 方法进行访谈的患者报告说，他们被问到所有 BATHE 问题的频率明显高于对照组：t(98)=19.10，P=0.001（95%置信区间[CI]=2.59，3.20）。与对照组相比，BATHE 组的患者对 PAC 的就诊满意度更高：t(98)=5.37，P=0.001（95%置信区间=0.19，0.41）。使用 BATHE 方法并没有显著增加医生评估患者的时间：t(98)=0.110，P=0.912（95%置信区间=-1.519，1.359）。