Lewis C M, Lavell S, Simpson M F
Clin Plast Surg. 1983 Apr;10(2):321-32.
Patient selection is difficult. Modern-day plastic surgeons are becoming increasingly aware that patient selection is an important aspect of a successful surgical practice. Evaluation of the patient as a whole rather than just the deformity is necessary to avoid dissatisfied patients. Surgeons should, during the initial interview, consider the acronym SAFE, asking open-ended questions and evaluating the patient. Patient selection rules for outpatient facilities are an extension of patient selection in general. Either patient or surgeon may have reasons for choosing the hospital over the outpatient facility for the procedure. The importance of patient selection extends to patient management as a whole. Appropriate management is even more important in the office-based setting because the stress may have more of an impact on the patient than for hospitalized procedures. Awareness of the stress state in surgery and the patient's personality style allows for a knowledgeable surgeon and staff to anticipate behaviors and emotions and use appropriately their power and nurturance to lead the patient to the ultimate goal, a feeling of satisfaction with the surgical result.
患者选择颇具难度。现代整形外科医生越来越意识到，患者选择是成功开展外科手术的一个重要方面。有必要对患者进行全面评估，而不仅仅是评估畸形情况，以免出现患者不满意的情况。在初次问诊时，外科医生应考虑首字母缩略词SAFE，提出开放式问题并对患者进行评估。门诊机构的患者选择规则是一般患者选择的延伸。患者或外科医生可能都有理由选择医院而非门诊机构来进行手术。患者选择的重要性延伸至整个患者管理过程。在门诊环境中，恰当的管理更为重要，因为压力对患者的影响可能比对住院手术的影响更大。了解手术中的压力状态以及患者的个性风格，能让经验丰富的外科医生及其团队预见患者的行为和情绪，并恰当地运用他们的权力和关怀，引导患者实现最终目标，即对手术结果感到满意。
