Jlala Hatem A, Bedforth Nigel M, Hardman Jonathan G
University Department of Anaesthesia, Queens' Medical Centre, Nottingham, UK.
Local Reg Anesth. 2010;3:65-71. doi: 10.2147/lra.s11271. Epub 2010 Aug 12.
The aim of this survey is to report anesthesiologists' perception of patients' anxiety under regional anesthesia, its frequency, effects and causes, and the strategies employed to reduce it. Electronic questionnaires were sent to all grades of anesthesiologists in Nottingham, UK. The response rate for the survey was 79%. Over half of the anesthesiologists in our region believe that anxiety during regional anesthesia is not common. Surgery and anesthesia, followed by block failure were reported by anesthesiologists as the most common causes of patients' anxiety. Frequently employed techniques to manage anxiety were communication or sedation. Most respondents felt that regional anesthesia provides good analgesia and patient satisfaction. However, 20% felt that regional anesthesia is painful or unpleasant for patients, perhaps explaining the reluctance by some anesthesiologists to perform regional anesthesia.
本次调查的目的是报告麻醉医生对区域麻醉下患者焦虑情况的认知，包括其发生率、影响及原因，以及为减轻焦虑所采取的策略。向英国诺丁汉各级麻醉医生发放了电子问卷。调查的回复率为79%。我们地区超过半数的麻醉医生认为区域麻醉期间患者焦虑并不常见。麻醉医生报告称，手术和麻醉，其次是阻滞失败，是患者焦虑最常见的原因。常用于应对焦虑的方法是沟通或镇静。大多数受访者认为区域麻醉能提供良好的镇痛效果并使患者满意。然而，20%的受访者认为区域麻醉对患者来说是痛苦或不愉快的，这或许可以解释一些麻醉医生不愿实施区域麻醉的原因。
