Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Korean J Anesthesiol. 2012 Mar;62(3):220-4. doi: 10.4097/kjae.2012.62.3.220. Epub 2012 Mar 21.
A preanesthetic visit can increase a patient's satisfaction. However, it is uncertain whether a preanesthetic visit by an anesthesiology resident can achieve the goal. We studied the time distribution for content of preanesthetic interviews (PI) and evaluated the patient's satisfaction with the PI.
We recorded the PI duration of 200 patients by a voice recorder. The degrees of patient satisfaction with the PI and the changes of anxiety level after the PI were quantified by a questionnaire. We analyzed the time distribution for content of the PI and the correlation between patient characteristics and PI duration or a patient's satisfaction.
The total PI duration was 184 (134-286) sec (median, 25-75%), and the time distributions for content of the PI were 8 (5-10) of greeting, 45 (23-70) of history taking, 15 (10-20) of physical examination, 50 (25-98) for obtainingan informed consent, 20 (10-30) of explanation for anesthetic planning, 15 (5-28) for explanation of patient controlled analgesia, and 10 (0-4) sec for questions and answers. Age, ASA physical status, and educational level were correlated with PI duration (P < 0.001). The patient's level of satisfaction was "very satisfied" in 39%, "satisfied" in 50%, and "moderate" in 11% of interviews. The anxiety level was "decreased" in 50%, "increased" in 8%, and "not changed" in 42% of patients.
Although the duration of a PI given by residents was a relatively short, 89% of patients of were satisfied with the interview. The PI took a longer time to complete in patients of older age, higher ASA physical status, or lower educational levels.
术前访视可以提高患者满意度。然而，麻醉住院医师进行术前访视是否能达到这一目标尚不确定。我们研究了术前访视（PI）内容的时间分布，并评估了患者对 PI 的满意度。
我们使用录音机记录了 200 例患者的 PI 持续时间。通过问卷量化患者对 PI 的满意度和 PI 后焦虑水平的变化。我们分析了 PI 内容的时间分布以及患者特征与 PI 持续时间或患者满意度之间的相关性。
PI 的总持续时间为 184（134-286）秒（中位数，25-75%），PI 内容的时间分布为 8（5-10）秒用于问候，45（23-70）秒用于采集病史，15（10-20）秒用于体格检查，50（25-98）秒用于获取知情同意书，20（10-30）秒用于解释麻醉计划，15（5-28）秒用于解释患者自控镇痛，10（0-4）秒用于问答。年龄、ASA 身体状况和教育水平与 PI 持续时间相关（P<0.001）。39%的患者对 PI 非常满意，50%的患者满意，11%的患者满意。50%的患者焦虑程度降低，8%的患者焦虑程度增加，42%的患者焦虑程度没有变化。
尽管住院医师进行的 PI 持续时间相对较短，但 89%的患者对访谈感到满意。年龄较大、ASA 身体状况较高或教育程度较低的患者完成 PI 的时间较长。
