Gondode Prakash Gyandev, Singh Ram, Mehta Swati, Singh Sneha, Kumar Subodh, Nayak Sudhansu Sekhar
Department of Anaesthesiology Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Int J Obstet Anesth. 2025 Feb;61:104302. doi: 10.1016/j.ijoa.2024.104302. Epub 2024 Nov 26.
Labor epidural analgesia is a widely used method for pain relief in childbirth, yet information accessibility for expectant mothers remains a challenge. Artificial intelligence (AI) chatbots like Chat Generative Pre-Trained Transformer (ChatGPT) and Google Gemini offer potential solutions for improving patient education. This study evaluates the accuracy, readability, and emotional tone of AI chatbot responses compared to the American Society of Anesthesiologists (ASA) online materials on labor epidurals.
Eight common questions about labor epidurals were posed to ChatGPT and Gemini. Seven obstetric anaesthesiologists evaluated the generated responses for accuracy and completeness on a 1-10 Likert scale, comparing them with ASA-sourced content. Statistical analysis (one-way ANOVA, Tukey HSD), sentiment analysis and readability metrics (Flesch Reading ease) were used to assess differences.
ASA materials scored highest for accuracy (8.80 ± 0.40) and readability, followed by Gemini and ChatGPT. Completeness scores showed ASA and Gemini performing significantly better than ChatGPT (P <0.001). ASA materials were the most accessible, while Gemini content was more complex. Sentiment analysis indicated a neutral tone for ASA and Gemini, with ChatGPT displaying a less consistent tone.
AI chatbots exhibit promise in patient education for labor epidurals but require improvements in readability and tone consistency to enhance engagement. Further refinement of AI chatbots may support more accessible, patient-centred healthcare information.
分娩硬膜外镇痛是一种广泛应用于分娩疼痛缓解的方法,但对孕妇而言,信息的可获取性仍是一项挑战。像聊天生成预训练变换器(ChatGPT)和谷歌双子星(Google Gemini)这样的人工智能(AI)聊天机器人为改善患者教育提供了潜在的解决方案。本研究将AI聊天机器人的回复与美国麻醉医师协会(ASA)关于分娩硬膜外麻醉的在线资料进行比较,评估其准确性、可读性和情感基调。
向ChatGPT和双子星提出八个关于分娩硬膜外麻醉的常见问题。七名产科麻醉医师在1-10李克特量表上评估生成的回复的准确性和完整性,并将其与ASA来源的内容进行比较。采用统计分析(单因素方差分析、Tukey HSD检验)、情感分析和可读性指标(弗莱什阅读简易度)来评估差异。
ASA资料在准确性(8.80±0.40)和可读性方面得分最高,其次是双子星和ChatGPT。完整性得分显示,ASA和双子星的表现明显优于ChatGPT(P<0.001)。ASA资料最易理解,而双子星的内容则更复杂。情感分析表明,ASA和双子星的语气中性,ChatGPT的语气则不太一致。
AI聊天机器人在分娩硬膜外麻醉的患者教育方面显示出前景,但需要提高可读性和语气一致性以增强参与度。进一步优化AI聊天机器人可能有助于提供更易获取、以患者为中心的医疗保健信息。