患者在外科手术前后对麻醉及麻醉医生的认知。

Patient perceptions about anesthesia and anesthesiologists before and after surgical procedures.

作者信息

Leite Fernanda, Silva Leopoldo Muniz da, Biancolin Sckarlet Ernandes, Dias Adriano, Castiglia Yara Marcondes Machado

机构信息

Universidade Estadual Paulista, Botucatu, São Paulo, Brazil.

出版信息

Sao Paulo Med J. 2011;129(4):224-9. doi: 10.1590/s1516-31802011000400005.

DOI:10.1590/s1516-31802011000400005

PMID:21971897

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896022/

Abstract

CONTEXT AND OBJECTIVE

Anesthesiologist-patient relationships are established preoperatively and intraoperatively. These are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. The aim here was to evaluate patients' perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions.

DESIGN AND SETTING

Prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital.

METHODS

518 patients aged 16 years or over were interviewed before and after anesthesia exposure. A questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists.

RESULTS

The patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. Anesthesiologists' roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% post-anesthesia), pain relief (29.7% pre-anesthesia, 31.7% post-anesthesia), vital sign monitoring (17.6% pre-anesthesia, 35% post-anesthesia; P < 0.05); and drug administration (10.8% pre-anesthesia, 43.9% post-anesthesia; P < 0.05). The level of confidence in the physician was rated high (82.2% and 89.8% pre- and post-anesthesia, respectively; P < 0.05) or intermediate (5.8% and 6.6% pre- and post-anesthesia, respectively; P < 0.05). The care provided by anesthesiologists was classified as: elucidating (52.8%), encouraging (52.6%), neutral (10.2%) and careless (0.8%).

CONCLUSION

Patients' perceptions of anesthesiologists' roles were fairly good, but improvements in this relationship still need to be pursued, to achieve better outcomes. Anesthetic care was important in providing information, confidence and reassurance among patients, regarding their perceptions. Anesthesiologists should not miss opportunities to provide excellent professional care for patients, thereby improving anesthesia outcomes and their image.

摘要

背景与目的

麻醉医生与患者的关系在术前和术中建立。这些都是提供有关麻醉/麻醉医生正确信息的机会，从而改善治疗结果。本研究的目的是评估患者在麻醉前对麻醉医生的看法，并确定麻醉护理是否会改变这种看法。

设计与地点

采用2007 - 2008年在一所三级大学医院获得的数据进行前瞻性横断面研究。

方法

对518名16岁及以上的患者在麻醉前后进行访谈。使用问卷来确定患者的特征以及对麻醉/麻醉医生的看法。

结果

患者年龄在16 - 89岁之间，59.8%上过小学。79.1%的人表示麻醉医生是专科医生。麻醉医生的角色与意识丧失相关（麻醉前为35.5%；麻醉后为43.5%）、疼痛缓解（麻醉前为29.7%，麻醉后为31.7%）、生命体征监测（麻醉前为17.6%，麻醉后为35%；P < 0.05）以及药物给药（麻醉前为10.8%，麻醉后为43.9%；P < 0.05）。对医生的信任程度被评为高（麻醉前和麻醉后分别为82.2%和89.8%；P < 0.05）或中等（麻醉前和麻醉后分别为5.8%和6.6%；P < 0.05）。麻醉医生提供的护理被分类为：阐释性（52.8%）、鼓励性（52.6%）、中性（10.2%）和粗心（0.8%）。