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脊柱恐惧症:患者对麻醉态度和偏好的调查结果

Spinal phobia: survey results of patient attitudes and preferences regarding anesthesia.

作者信息

Sosis M B, Parnass S M, McCarthy R J, Braverman B, Watson G, Halter T

机构信息

Department of Anesthesiology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.

出版信息

J Clin Anesth. 1995 Aug;7(5):389-94. doi: 10.1016/0952-8180(95)00068-s.

DOI:10.1016/0952-8180(95)00068-s
PMID:7576674
Abstract

STUDY OBJECTIVE

To determine unbiased patient preferences for either spinal or general anesthesia for upcoming surgeries.

DESIGN

Prior to contact with anesthesia personnel, a simple questionnaire was completed by surgical patients to determine their demographic characteristics and previous anesthetic experiences. Their concerns regarding a list of complications of general and spinal anesthesia and their preferences for general or spinal anesthesia if either method could be used were also determined.

SETTING

University-affiliated suburban community hospital.

MEASUREMENTS AND MAIN RESULTS

The survey was completed by 254 patients. A preference for general over spinal anesthesia was expressed by 80.2% of the patients responding. They expressed significantly more concerns regarding nausea/vomiting, sore throat, feeling sleepy, and death with general anesthesia than with spinal anesthesia. Concerns of back pain, nerve damage and paralysis were statistically related to spinal anesthesia.

CONCLUSIONS

This survey shows a strong patient preference for general anesthesia and a phobia for spinal anesthesia.

摘要

研究目的

确定即将接受手术的患者对脊髓麻醉或全身麻醉的无偏倚偏好。

设计

在与麻醉人员接触之前,手术患者完成一份简单问卷,以确定其人口统计学特征和既往麻醉经历。还确定了他们对全身麻醉和脊髓麻醉一系列并发症的担忧,以及如果两种方法都可用时他们对全身麻醉或脊髓麻醉的偏好。

地点

大学附属郊区社区医院。

测量与主要结果

254名患者完成了调查。80.2%的应答患者表示更喜欢全身麻醉而非脊髓麻醉。与脊髓麻醉相比,他们对全身麻醉引起的恶心/呕吐、喉咙痛、嗜睡和死亡表现出明显更多的担忧。背痛、神经损伤和瘫痪的担忧与脊髓麻醉在统计学上相关。

结论

这项调查显示患者强烈偏好全身麻醉且对脊髓麻醉存在恐惧。

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