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术后麻醉访视的重要性:重复访视能否提高患者满意度或医生认知度?

The importance of the postoperative anesthetic visit: do repeated visits improve patient satisfaction or physician recognition?

作者信息

Zvara D A, Nelson J M, Brooker R F, Mathes D D, Petrozza P H, Anderson M T, Whelan D M, Olympio M A, Royster R L

机构信息

Department of Anesthesia, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA.

出版信息

Anesth Analg. 1996 Oct;83(4):793-7. doi: 10.1097/00000539-199610000-00024.

Abstract

This study evaluates whether repeated postoperative visits by the anesthesiologist improve patient ability to recall the anesthesiologist's name and the patient's perception of and satisfaction with anesthesia services. In a randomized, prospective trial, 144 patients with an anticipated postoperative length of stay of at least three days were enrolled in three groups: Group A patients (n = 48) had one postoperative visit, Group B (n = 48) had two postoperative visits, and Group C (n = 48) had three postoperative visits. All postoperative visits were performed by the attending anesthesiologist on consecutive postoperative days. Patients were contacted two days after their last postoperative visit to complete a study questionnaire. Patients were able to recall the anesthesiologist's name significantly less frequently than the surgeon's name, and there was no difference in name recall among groups. Recall was not affected by patient age, sex, or ASA physical status; the mode of contact (telephone versus personal visit); the anesthesiologist's gender; the presence of preoperative medication; or the identity of the preoperative evaluator. Patients could identify the anesthesiologist's gender approximately 85% of the time, regardless of group, and were more likely to identify female anesthesiologists (P = 0.026, odds ratio 3.3). Patient evaluation of hospital, surgical, and anesthesia care was favorable in all groups and did not vary with group. Increasing the number of postoperative visits does not improve patient name recognition of the anesthesiologist or increase patient satisfaction with or perception of anesthesia services.

摘要

本研究评估麻醉医生术后多次随访是否能提高患者记住麻醉医生姓名的能力,以及患者对麻醉服务的认知和满意度。在一项随机前瞻性试验中,144名预计术后住院时间至少三天的患者被分为三组:A组患者(n = 48)术后接受一次随访,B组(n = 48)术后接受两次随访,C组(n = 48)术后接受三次随访。所有术后随访均由主治麻醉医生在术后连续几天进行。在患者最后一次术后随访两天后与他们联系,以完成一份研究问卷。患者记住麻醉医生姓名的频率明显低于记住外科医生姓名的频率,且各组之间在姓名记忆方面没有差异。记忆不受患者年龄、性别、美国麻醉医师协会(ASA)身体状况、联系方式(电话随访还是亲自拜访)、麻醉医生性别、术前用药情况或术前评估者身份的影响。无论在哪一组,患者大约85%的情况下能够识别麻醉医生的性别,且更有可能识别女性麻醉医生(P = 0.026,优势比为3.3)。所有组的患者对医院、手术和麻醉护理的评价都很好,且不随组别而变化。增加术后随访次数并不能提高患者对麻醉医生姓名的识别率,也不会增加患者对麻醉服务的满意度或认知度。

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