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患者对麻醉医生所提供护理的看法:一项调查研究。

Patient perceptions of the care received from their anesthesiologist: a survey study.

作者信息

Nicolescu Teodora, Doerfel John, Khan Qaiser

出版信息

J Okla State Med Assoc. 2016 Oct;109(10):481-3.

PMID:29283538
Abstract

CONTEXT

Observed disconnect between patient knowledge and choice of anesthesiologist. OBJECTIVES: Assess opportunities to improve perceptions about anesthesiology as a profession, and for patient education on the scope of anesthesia practice. DESIGN: Prospective Study. SETTING: Academic institution and tertiary care hospital in Oklahoma, USA. PARTICIPANTS: 238 patients with a scheduled procedure involving general anesthesia were approached and consented before surgery. Minors, in-patients, pregnant women, prisoners, and non-native English speakers were excluded. Post-procedure, 156 of the consented patients were administered a verbal, eight-question survey in the post-operative are of the hospital. The other 82 patients who had originally consented to the study were excluded for various reasons detailed in the case report. INTERVENTIONS: Study was conducted through surveys over a seven-week period on random patients who consented to answer the survey questions. Main outcome measures: Study confirmed the hypothesis, but also brought out secondary findings. RESULTS: Of the 156 patients surveyed, 19 (12%) knew their anesthesiologist's name, and only 15 (9.6%) said that they knew anything about the anesthesiologist's practice or qualifications. T-test analysis comparing satisfaction with the whole hospital environment to other satisfaction questions showed satisfaction with surgeon, nursing staff, and anesthesiologist were all significantly higher than satisfaction with whole hospital environment (p < 0.05). All T-tests performed were two-tailed tests. CONCLUSIONS: Study indicates that patients know little about their anesthesiologists, and are unlikely to select their own anesthesiologist. Improving patients' knowledge about the anesthesiologists' roles and competencies might be accomplished by providing a list of names and specific practice competencies, or by having an online site of practice information easily accessible.

摘要

背景

观察到患者在麻醉医生知识和选择方面存在脱节。

目的

评估改善对麻醉学作为一门职业的认知以及对患者进行麻醉实践范围教育的机会。

设计

前瞻性研究。

地点

美国俄克拉荷马州的学术机构和三级护理医院。

参与者

238例计划进行全身麻醉手术的患者在手术前被联系并同意参与研究。排除未成年人、住院患者、孕妇、囚犯和非英语母语者。术后,对156例同意参与的患者在医院术后区域进行了一次口头的、包含八个问题的调查。另外82例最初同意参与研究的患者因病例报告中详细说明的各种原因被排除。

干预措施

在七周时间内通过对同意回答调查问卷的随机患者进行调查来开展研究。

主要结局指标

研究证实了假设,但也得出了次要发现。

结果

在接受调查的156例患者中,19例(12%)知道他们麻醉医生的名字,只有15例(9.6%)表示他们了解麻醉医生的执业情况或资质。将对整个医院环境的满意度与其他满意度问题进行比较的t检验分析表明,患者对外科医生、护理人员和麻醉医生的满意度均显著高于对整个医院环境的满意度(p < 0.05)。所有进行的t检验均为双侧检验。

结论

研究表明患者对他们的麻醉医生了解甚少,并且不太可能自行选择麻醉医生。通过提供麻醉医生名单和具体执业能力清单,或者通过设立一个易于访问的在线执业信息网站,可能会提高患者对麻醉医生角色和能力的了解。

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