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区域麻醉中与患者满意度和情绪状态相关因素的评估。

Evaluation of factors associated with patient satisfaction and mood-state in regional anesthesia.

作者信息

Tosuner Akpinar Vildan, Koroglu Lale, Gurbuz Aytuluk Hande

机构信息

Department of Anesthesiology and Reanimation, Izmir Atatürk Training and Research Hospital, İzmir; New affiliation: Department of Anesthesiology and Reanimation, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.

Department of Anesthesiology and Reanimation, Izmir Atatürk Training and Research Hospital, İzmir, Turkey.

出版信息

Agri. 2019 Apr;31(2):57-62. doi: 10.5505/agri.2018.71363.

DOI:10.5505/agri.2018.71363
PMID:30995331
Abstract

OBJECTIVES

This study was designed to evaluate patient satisfaction with a regional anesthesia procedure and factors associated with the mood state of those patients at the time.

METHODS

The study was performed with 300 patients who underwent surgery under regional anesthesia. The patients were given a questionnaire while in the recovery room about the experience of undergoing regional anesthesia to determine patient satisfaction and mood state during the procedure.

RESULTS

The overall level of satisfaction with regional anesthesia was 82.3%. The level of satisfaction was higher in the age group of 18-25 years, male gender, in patients who had a previous regional anesthesia experience, and in patients who were well informed about regional anesthesia in a preoperative anesthetic evaluation. There was a relationship between pain due to failed spinal anesthesia during surgery and dissatisfaction with regional anesthesia. Patients who were properly informed preoperatively mostly expressed the feeling of 'safe.' Patients who underwent urological interventions most often expressed the feeling of 'comfortable'. Patients underwent gynecological and obstetrical surgeries mostly expressed the feeling 'excited'. Patients who underwent general surgical procedures and patients who were not informed preoperatively about regional anesthesia most often reported feeling 'anxious.'

CONCLUSION

Providing adequate preoperative information to the patient about regional anesthesia will increase overall satisfaction and will assure the patient feels safe during the perioperative period.

CLINICAL TRIAL REGISTRATION NUMBER

NCT03476278.

摘要

目的

本研究旨在评估患者对区域麻醉手术的满意度以及与这些患者当时情绪状态相关的因素。

方法

该研究对300例接受区域麻醉手术的患者进行。患者在恢复室时接受了一份关于区域麻醉经历的问卷,以确定手术过程中的患者满意度和情绪状态。

结果

区域麻醉的总体满意度为82.3%。18 - 25岁年龄组、男性、有过区域麻醉经历的患者以及在术前麻醉评估中对区域麻醉有充分了解的患者,满意度更高。手术期间脊髓麻醉失败导致的疼痛与对区域麻醉的不满之间存在关联。术前得到适当告知的患者大多表达“安全”的感觉。接受泌尿外科手术的患者最常表达“舒适”的感觉。接受妇产科手术的患者大多表达“兴奋”的感觉。接受普通外科手术的患者以及术前未被告知区域麻醉的患者最常报告感到“焦虑”。

结论

向患者提供关于区域麻醉的充分术前信息将提高总体满意度,并确保患者在围手术期感到安全。

临床试验注册号

NCT03476278。

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