Budiman M, Izaham A, Abdul Manap N, Zainudin K, Kamaruzaman E, Masdar A, Dan A
Department of Anaesthesiology & Intensive Care, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Clin Ter. 2015 Nov-Dec;166(6):227-35. doi: 10.7417/CT.2015.1892.
To evaluate patients' understanding on the status and role of anaesthesiologists.
This was a prospective, questionnaire-based cross-sectional study. The interview had three segments which questioned on (i) patients' knowledge of the qualification, training and role of anaesthesiologists, (ii) attitude of patients towards anaesthesia and anaesthesiologists and (iii) the demographic data of patients.
Of 384 patients interviewed, 59.4% had prior anaesthesia experience. Most patients (95.6%) knew that anaesthesiologists were medical doctors, but only 27.1% knew the duration of training required to attain this specialist qualification. Patients' awareness of the various anaesthetic responsibilities was 12.2% in managing labour pain, 25.5% in intensive care units, 49.2% in chronic pain and 99.5% in postoperative pain management. During surgery, 73.7% of patients knew that anaesthesiologists were monitoring their vital signs, but only 42.2% thought anaesthesiologists also treated medical problems intraoperatively. Most patients (95.1%) would like to meet their anaesthesiologists prior to the operation and 97.7% want them to inform all possible anaesthesia complications.
Our patients' understanding and awareness of the status and roles of anaesthesiologists are still limited and variable. This can be further improved with patient interaction and public education.
评估患者对麻醉医生的地位和作用的理解。
这是一项基于问卷的前瞻性横断面研究。访谈分为三个部分,分别询问(i)患者对麻醉医生的资质、培训和作用的了解,(ii)患者对麻醉和麻醉医生的态度,以及(iii)患者的人口统计学数据。
在接受访谈的384名患者中,59.4%有过麻醉经历。大多数患者(95.6%)知道麻醉医生是医生,但只有27.1%知道获得该专科资质所需的培训时长。患者对各种麻醉职责的知晓率在分娩疼痛管理方面为12.2%,在重症监护病房为25.5%,在慢性疼痛方面为49.2%,在术后疼痛管理方面为99.5%。在手术期间,73.7%的患者知道麻醉医生在监测他们的生命体征,但只有42.2%的患者认为麻醉医生也在术中处理医疗问题。大多数患者(95.1%)希望在手术前见到他们的麻醉医生,97.7%的患者希望麻醉医生告知所有可能的麻醉并发症。
我们的患者对麻醉医生的地位和作用的理解和认识仍然有限且存在差异。通过与患者互动和公众教育可以进一步改善这种情况。