Sassi Kaissar, Tardif Elsa, Lasry Louis, Manenc Lola, Guerby Paul, Minville Vincent
Department of Anaesthesia, Centre Hospitalier Universitaire de Purpan, Toulouse, France.
Indian J Anaesth. 2024 Feb;68(2):183-188. doi: 10.4103/ija.ija_721_23. Epub 2024 Jan 29.
Pregnancy presents risks, particularly for women with pre-existing health problems. Pre-anaesthetic consultations can help anticipate these risks and establish a medical management strategy on the delivery day. While teleconsultations gained popularity during the coronavirus disease 2019 (COVID-19) pandemic, research on pre-anaesthetic teleconsultations during pregnancy is limited. This study aimed to assess patient satisfaction and physician perception of teleconsultations for third-trimester pre-anaesthetic consultations.
A prospective observational study included pregnant women who opted for teleconsultations for pre-anaesthetic consultations. Patient satisfaction was assessed using Likert scale questions and the System Use Scale. Anaesthetist satisfaction was evaluated using a Likert scale and by considering changes in anaesthetic techniques and missing clinical data in the pre-anaesthetic assessment. Data analysis utilised SPSS Statistics for Windows, Version 20.0. encompassing descriptive statistics, hypothesis testing and odds ratio calculations. This approach explored the correlation between patient and anaesthetist satisfaction and pertinent risk factors.
The study enroled 99 patients, with 85% expressing satisfaction and high satisfaction on the Likert scale and 88% finding the teleconsultation acceptable based on the System Use Scale (score ≥ 70). Anaesthetists reported being satisfied with the pre-anaesthetic consultations in 94% of cases.
This study demonstrates the feasibility and effectiveness of telemedicine consultations in obstetric anaesthesia, showing high patient and anaesthetist satisfaction rates.
怀孕存在风险，尤其是对于有既往健康问题的女性。麻醉前会诊有助于预测这些风险，并在分娩日制定医疗管理策略。虽然远程会诊在2019年冠状病毒病（COVID-19）大流行期间变得流行，但关于孕期麻醉前远程会诊的研究有限。本研究旨在评估患者对孕晚期麻醉前远程会诊的满意度以及医生的看法。
一项前瞻性观察性研究纳入了选择进行麻醉前远程会诊的孕妇。使用李克特量表问题和系统使用量表评估患者满意度。通过李克特量表并考虑麻醉技术的变化和麻醉前评估中缺失的临床数据来评估麻醉医生的满意度。数据分析使用SPSS Statistics for Windows 20.0版软件，包括描述性统计、假设检验和比值比计算。该方法探讨了患者与麻醉医生满意度之间以及相关风险因素之间的相关性。
该研究招募了99名患者，85%的患者在李克特量表上表示满意和高度满意，88%的患者根据系统使用量表（得分≥70）认为远程会诊可以接受。麻醉医生报告在94%的病例中对麻醉前会诊感到满意。
本研究证明了远程医疗会诊在产科麻醉中的可行性和有效性，显示出患者和麻醉医生的高满意度。
