Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
J Korean Med Sci. 2014 Feb;29(2):287-91. doi: 10.3346/jkms.2014.29.2.287. Epub 2014 Jan 28.
This prospective study aimed to evaluate the satisfaction of patients who participated in the decision-making process for selecting an anesthesia method for surgery; the patients' preferred role (active, collaborative or passive) in the decision-making; and the patients' preferred choice of anesthetic method. The study included 257 patients scheduled for simple elective surgeries involving the upper or lower extremities. During the preanesthetic visit, patients were informed regarding two methods of anesthesia for their surgeries, and participated in selecting one option. Of the 257 patients, 69.6% preferred a collaborative role, 18.3% and 12.1% preferred an active and a passive role, respectively. Among patients requiring surgery on an upper extremity and on a lower extremity, 64.3% and 51.3% expressed a preference for general anesthesia over regional anesthesia, respectively. After surgery, the majority of our patients were satisfied (93.4%) and felt respected (97.7%). Furthermore, the patients expressed a change in preference for assuming an active role (49.4%) and a collaborative role (43.6%) in the decision-making process for their future anesthesia needs. This study may help to promote patient centered care in a department of anesthesiology.
本前瞻性研究旨在评估参与手术麻醉方法选择决策过程的患者的满意度；患者在决策中的偏好角色（主动、协作或被动）；以及患者对麻醉方法的首选。该研究纳入了 257 名计划接受上肢或下肢简单择期手术的患者。在术前访视时，向患者告知了两种手术麻醉方法，并让他们参与选择其中一种。在 257 名患者中，69.6%的患者偏好协作角色，18.3%和 12.1%的患者分别偏好主动和被动角色。在上肢手术和下肢手术的患者中，分别有 64.3%和 51.3%的患者表示更倾向于全身麻醉而非区域麻醉。术后，我们的大多数患者感到满意（93.4%）且受到尊重（97.7%）。此外，患者表示愿意在未来的麻醉需求决策中改变主动（49.4%）和协作（43.6%）角色的偏好。本研究可能有助于促进麻醉科的以患者为中心的护理。
