Williams O A
Sheffield Hospital Training Scheme, Chesterfield, Derbyshire, UK.
J R Soc Med. 1993 Jun;86(6):328-31.
To investigate knowledge of perioperative events, a questionnaire was administered to 111 elective surgical patients. Six topics were covered: the operation, the anaesthetic, time spent in the operating theatre, amount of post-operative pain, duration of hospital admission and time required to return to normal fitness. Apart from evaluating information-sources for each topic, the questionnaire assessed degree of knowledge and satisfaction with this information, and the relationship of these to anxiety. More than 30% of the patients responded that they had received no information about anaesthesia, time in theatre, return to fitness or pain. For each topic more than 40% desired further information. Nursing staff provided most information, although for the anaesthetic, time in theatre, return to fitness and pain, more than 60% of patients responded that nobody had provided explanation. There was no correlation between knowledge relating to the topics per se and anxiety, but there was a significant correlation between satisfaction with information and anxiety. This survey shows a considerable need for improved information provision, especially for patients in whom anxiety is associated with a desire for further explanation of operative care.
为了调查患者对围手术期相关事件的了解情况,对111名择期手术患者进行了问卷调查。问卷涵盖六个主题:手术、麻醉、在手术室的时长、术后疼痛程度、住院时间以及恢复正常健康所需时间。除了评估每个主题的信息来源外,问卷还评估了患者对这些信息的了解程度和满意度,以及它们与焦虑之间的关系。超过30%的患者表示他们没有收到关于麻醉、在手术室的时间、恢复健康或疼痛方面的任何信息。对于每个主题,超过40%的患者希望获得更多信息。护理人员提供了大部分信息,不过对于麻醉、在手术室的时间、恢复健康和疼痛方面,超过60%的患者表示没有人给予解释。各主题本身的相关知识与焦虑之间没有相关性,但对信息的满意度与焦虑之间存在显著相关性。这项调查表明,尤其对于那些焦虑情绪与渴望进一步了解手术护理相关的患者,非常需要改善信息提供情况。