McGaw C D, Hanna W J
Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Mona, Jamaica.
West Indian Med J. 1998 Jun;47(2):64-7.
This study was undertaken to assess patients' knowledge and perceptions, fears and concerns regarding perioperative management. 300 patients were interviewed consecutively and a questionnaire was completed for each patient. 25% admitted to having anxiety about their upcoming operation. The prevalence of preoperative fear was significantly higher in younger patients (age < 40 years, p < 0.05) and in more educated patients (secondary and tertiary levels, p < 0.001). The commonest fears were those of a morbid nature (e.g. death on the operating table). 34% of the patients did not realize that anaesthetists were qualified doctors, and only 10% recognized the central role played by anaesthetists in the monitoring of vital signs throughout an operation. There is continuing need for public education on the role of the anaesthetists in health care, and anaesthetists must ensure that preoperative concerns of their patients are adequately addressed.
本研究旨在评估患者对围手术期管理的知识、认知、恐惧和担忧。连续采访了300名患者，并为每位患者填写了一份问卷。25%的患者承认对即将进行的手术感到焦虑。术前恐惧在年轻患者（年龄<40岁，p<0.05）和受教育程度较高的患者（中学和大学学历，p<0.001）中患病率显著更高。最常见的恐惧是那些具有病态性质的恐惧（例如手术台上死亡）。34%的患者没有意识到麻醉医生是合格的医生，只有10%的患者认识到麻醉医生在整个手术过程中监测生命体征所起的核心作用。持续需要对公众进行关于麻醉医生在医疗保健中作用的教育，并且麻醉医生必须确保充分解决患者的术前担忧。
