Waisel D B, Truog R D
Department of Anesthesia, Children's Hospital, Boston, MA, USA.
J Clin Anesth. 1995 May;7(3):200-4. doi: 10.1016/0952-8180(94)00047-8.
To ascertain the benefits of the preoperative discussion of the risks of anesthesia with parents of ASA status I or II pediatric day surgery patients.
Survey analysis.
Pediatric day surgery unit.
54 parents of ASA status I or II pediatric day surgery patients between the ages of 7 months and 16 years.
After informed consent for the anesthetic was obtained by a member of the anesthesiology team, the parent(s) were given a questionnaire on their feelings about the explanation of the risks of anesthesia.
The questionnaire evaluated how parents felt about their understanding of the risks of anesthesia, the effect of hearing the risks of anesthesia on their anxiety levels, and the benefits of hearing the risks of anesthesia. Over 90% of the parents felt that they understood the risks of anesthesia, that the discussion of the risks would have no effect on their decision to proceed with surgery, and that the explanation of the risks is desirable; 92% considered the explanation desirable either out of a sense of responsibility or because they welcomed better understanding.
Our study suggests the benefits of the explanation of the risks of anesthesia appear to be rooted in satisfying parental responsibility and understanding, and not in providing information for decision making or anxiety relief. Anesthesiologists should not feed compelled to always detail all the risks, but should seek to satisfy individual parental needs.
确定与美国麻醉医师协会（ASA）分级为I或II级的儿科日间手术患者的家长进行术前麻醉风险讨论的益处。
调查分析。
儿科日间手术科室。
54名ASA分级为I或II级、年龄在7个月至16岁之间的儿科日间手术患者的家长。
在麻醉团队成员获得麻醉知情同意后，向家长发放一份关于他们对麻醉风险解释感受的问卷。
问卷评估了家长对麻醉风险理解程度的感受、听闻麻醉风险对其焦虑水平的影响以及听闻麻醉风险的益处。超过90%的家长认为他们理解麻醉风险，风险讨论不会影响他们进行手术的决定，且风险解释是可取的；92%的家长认为出于责任感或因为希望更好地理解，这种解释是可取的。
我们的研究表明，麻醉风险解释的益处似乎源于满足家长的责任感和理解需求，而非为决策提供信息或缓解焦虑。麻醉医生不应总是被迫详细说明所有风险，而应设法满足家长的个体需求。
