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手术全身麻醉前后的患者意见及副作用

Patient Opinions and Side Effects Before and After General Anesthesia for Surgery.

作者信息

Usman Mohammad, Huang Austin, Stolzenberg Laurence, Clemmons Martin, Hovey Justin G, MacGregor Gordon

机构信息

Psychiatry, Alabama College of Osteopathic Medicine, Dothan, USA.

Internal Medicine, Alabama College of Osteopathic Medicine, Dothan, USA.

出版信息

Cureus. 2024 Feb 7;16(2):e53755. doi: 10.7759/cureus.53755. eCollection 2024 Feb.

DOI:10.7759/cureus.53755
PMID:38465100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10921444/
Abstract

As the number of surgical procedures performed the world over continues to increase, so does the number of anesthetic procedures needed for those surgeries to occur. While much thought and research has been focused on the perspective of the anesthesiologist, little has been explored from the perspective of the patient receiving anesthesia. The purpose of this study was to explore the general public's opinions and experiences of general anesthesia, as well as any change in their perception after having undergone a procedure requiring it. We decided that further inquiry into the subject was warranted, and we decided to run an online Qualtrics survey in order to make that inquiry. The key takeaway from our online anonymous survey shows that there is a significant amount of anxiety related to anesthesia, but that most people specify a large decrease in said anxiety after having undergone the procedure. Noticeably, people were made more comfortable by discussing anesthesia with people who had lived through the experience, and people believed they would be significantly comforted by the presence of therapy animals prior to beginning their procedures. We hope that our exploratory research will promote future research into this topic in order to improve the healthcare outcomes of a significant number of patients. We believe that this data has opened up many potential avenues for further exploration and research, as well as potentially being able to guide surgical practice.

摘要

随着全球范围内实施的外科手术数量持续增加,这些手术所需的麻醉程序数量也在增加。虽然很多思考和研究都聚焦于麻醉医生的视角,但从接受麻醉的患者角度进行的探索却很少。本研究的目的是探究公众对全身麻醉的看法和体验,以及在经历需要全身麻醉的手术后他们认知上的任何变化。我们认为有必要对该主题进行进一步调查,于是决定开展一项在线Qualtrics调查来进行此项调查。我们在线匿名调查的关键结论表明,与麻醉相关的焦虑情绪相当严重,但大多数人表示在经历手术之后这种焦虑大幅减轻。值得注意的是,与有过麻醉经历的人讨论麻醉会让人们感觉更安心,并且人们认为在手术开始前有治疗动物在场会让他们得到极大的安慰。我们希望我们的探索性研究能推动未来对该主题的研究,以改善大量患者的医疗保健结果。我们相信这些数据为进一步探索和研究开辟了许多潜在途径,也有可能为外科手术实践提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5f/10921444/7764af244ad5/cureus-0016-00000053755-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5f/10921444/0cdf149b499f/cureus-0016-00000053755-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5f/10921444/7764af244ad5/cureus-0016-00000053755-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5f/10921444/0cdf149b499f/cureus-0016-00000053755-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5f/10921444/7764af244ad5/cureus-0016-00000053755-i02.jpg

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本文引用的文献

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Trauma of major surgery: A global problem that is not going away.重大手术创伤:一个全球性问题,且并未消失。
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Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia.
埃塞俄比亚西北部德布雷马科斯和费莱格希沃特转诊医院成年外科患者的术前焦虑及相关因素
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Availability and Readability of Online Patient Education Materials Regarding Regional Anesthesia Techniques for Perioperative Pain Management.在线患者教育材料对围手术期疼痛管理中局部麻醉技术的可及性和可读性。
Pain Med. 2017 Oct 1;18(10):2027-2032. doi: 10.1093/pm/pnw179.
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Fear of going under general anesthesia: A cross-sectional study.对全身麻醉的恐惧:一项横断面研究。
Saudi J Anaesth. 2016 Jul-Sep;10(3):317-21. doi: 10.4103/1658-354X.179094.
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Anesthesiologist: the patient's perception.麻醉医生:患者的感知。
Braz J Anesthesiol. 2015 Nov-Dec;65(6):497-503. doi: 10.1016/j.bjane.2014.05.014. Epub 2015 Sep 28.
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Readability evaluation of Internet-based patient education materials related to the anesthesiology field.基于互联网的麻醉学领域患者教育材料的可读性评估。
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