Karaaslan Pelin, Aydın Coşkun, Aksu Tarık
Department of Anaesthesiology and Reanimation, Medipol University, İstanbul, Turkey.
Department of Obstetric and Gynecology, HRS Obstetric Hospital, Ankara, Turkey.
Turk J Anaesthesiol Reanim. 2014 Aug;42(4):176-81. doi: 10.5152/TJAR.2014.48303. Epub 2014 May 29.
Most patients in Turkey still prefer general anaesthesia (GA) and are somehow afraid of regional blocks. Receiving adequate information is likely to increase patients' awareness about regional anaesthesia (RA). We aimed to determine the current preferences of parturients, the reasons for refusal of RA techniques, and how detailed information about the type of anaesthesia affect a patient's preference for anaesthesia among obstetric cases.
One hundred fifty patients, scheduled for elective caesarean section (C/S), were surveyed before and after the C/S. The survey included three parts: the first part involved demographic features, anaesthesia preferences, prior opinions and experiences related to RA, and assessment of preoperative fears and reasons, and the second part involved persuasion of patients after reading the information sheet about RA. The final part was composed of postoperative satisfaction and complications related to the RA or GA depending on the patients' preferences. Complications were recorded on the anaesthesia chart.
Of all patients, 42.7% (n=64) approved and 48% (n=72) refused RA at the first preoperative anaesthesia visit. The remaining patients (n=14) had no idea of which anaesthesia type to choose. After being informed about RA in detail, 48 (66.6%) of the patients who previously refused RA and all patients who had no idea approved the procedure, and all of them were satisfied with the anaesthesia following the procedure.
Our study revealed exactly that particularly obstetric anaesthetists should inform their patients about the advantages and disadvantages of all alternative types of anaesthesia. Effective and correct information is the major point.
土耳其的大多数患者仍然更喜欢全身麻醉（GA），并且在某种程度上害怕区域阻滞。获得充分的信息可能会提高患者对区域麻醉（RA）的认识。我们旨在确定产妇目前的偏好、拒绝RA技术的原因，以及关于麻醉类型的详细信息如何影响产科病例中患者对麻醉的偏好。
对150例计划进行择期剖宫产（C/S）的患者在剖宫产前后进行了调查。该调查包括三个部分：第一部分涉及人口统计学特征、麻醉偏好、与RA相关的既往意见和经验，以及术前恐惧和原因的评估；第二部分涉及患者阅读关于RA的信息表后的说服情况。最后一部分由根据患者偏好的与RA或GA相关的术后满意度和并发症组成。并发症记录在麻醉图表上。
在所有患者中，42.7%（n = 64）在首次术前麻醉访视时批准了RA，48%（n = 72）拒绝了RA。其余患者（n = 14）不知道选择哪种麻醉类型。在详细了解RA后，之前拒绝RA的48例患者（66.6%）以及所有不知道的患者都批准了该程序，并且所有患者在手术后对麻醉都很满意。
我们的研究确切表明，特别是产科麻醉医生应该告知患者所有替代麻醉类型的优缺点。有效和正确的信息是关键。
