Gabay Gillie, Gere Attila, Zemel Glenn, Moskowitz Howard
School of Sciences, Multi-Disciplinary Studies, Achva Academic College, Arugot 7980400, Israel.
Institute of Food Science and Technology, Hungarian University of Agriculture and Life Sciences, 1118 Budapest, Hungary.
Healthcare (Basel). 2025 Feb 28;13(5):534. doi: 10.3390/healthcare13050534.
: To map and analyze patient expectations regarding communication in IC and identify communication that both heightens anxiety in the IC process and reduces anxiety in the IC process before surgery. : Ethics approval was granted. A power analysis indicated a required sample of 90 patients. A conjoint-based experimental design was performed, post-discharge, overcoming typical biases of surveys. : The sample comprised 104 patients who underwent surgery in the last year. Three verbal communication messages were perceived as significantly decreasing pre-operative anxiety for the total sample. Mathematical clustering yielded three distinct mindsets. Post hoc ANOVA indices indicated that the mindsets were significantly different. Patients belonging to each mindset differed from patients belonging to other mindsets in their expectations from the dialogue with surgeons to mitigate their anxiety. Mindset 1 (70% of the sample) comprised patients who expected information that was tailored to their specific situation. To feel safer, they needed to know that nothing unexpected would happen. Mindset 2 (13%) comprised patients who expected providers to talk with them about benefits and risks at the clinic, not at the hospital, and have a dialogue with them. Mindset 3 (17%) comprised patients who perceived a lack of information regarding the purpose of signing the informed consent and lack of sufficient time to thoroughly read the form or signing the form minutes before the procedure as elements that would heighten their anxiety. : Three verbal communication messages in the IC dialogue were thought to decrease pre-operative anxiety for all patients, as follows. "I want to make sure you read and understand the consent form entirely" "Everything is provided in clear and simple terms". The surgeon says, "Let's go over the entire form".
绘制并分析患者对重症监护（IC）中沟通的期望，识别在IC过程中加剧焦虑以及在手术前减轻焦虑的沟通方式。已获得伦理批准。功效分析表明需要90名患者的样本。采用基于联合分析的实验设计，在出院后进行，克服了调查的典型偏差。样本包括去年接受手术的104名患者。对于整个样本而言，三条言语沟通信息被认为能显著降低术前焦虑。数学聚类产生了三种不同的思维模式。事后方差分析指标表明这些思维模式存在显著差异。属于每种思维模式的患者在与外科医生对话以减轻焦虑的期望方面与属于其他思维模式的患者不同。思维模式1（占样本的70%）包括那些期望获得针对其具体情况的信息的患者。为了感觉更安全，他们需要知道不会发生意外情况。思维模式2（占13%）包括那些期望医护人员在诊所而非医院与他们谈论益处和风险，并与他们进行对话的患者。思维模式3（占17%）包括那些将缺乏关于签署知情同意书目的的信息以及在手术前几分钟没有足够时间彻底阅读表格或签署表格视为会加剧其焦虑的因素的患者。IC对话中的三条言语沟通信息被认为能降低所有患者的术前焦虑，如下所示。“我想确保你完全阅读并理解了同意书”“所有内容都以清晰简单的方式呈现”。外科医生说，“我们把整个表格过一遍”。
