剖宫产术中拒绝区域麻醉的产科患者的观点。
Views of obstetric patients who refuse regional anesthesia in cesarean section.
作者信息
Chan Y L, Wong K L, Lin C F, Rau R H, Wu K H, Wei T T
机构信息
Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
出版信息
Acta Anaesthesiol Sin. 1998 Jun;36(2):99-102.
BACKGROUND
Regional anesthesia for cesarean section has gained widespread popularity. However, there are still a good few of obstetric patients who refuse it. This study was to investigate the reasons for refusing regional anesthesia in order to gain some insights into the attitudes and concerns of patients.
METHODS
Three hundred and twenty-four obstetric patients scheduled for Cesarean section were interviewed just before entering the operating room. They were asked to give one or two reasons for refusing regional anesthesia.
RESULTS
Two hundreds of them refused regional anesthesia. The most frequent reasons were apprehension of witnessing the operation (auditory or visional) (45.42%) and fear of backache following regional anesthesia (14.58%).
CONCLUSIONS
Anesthesiologists should be aware of patients' feeling or concern and could be capable and willing to discuss with them the relevant problems.
背景
剖宫产区域麻醉已广泛普及。然而，仍有不少产科患者拒绝接受。本研究旨在调查拒绝区域麻醉的原因，以便深入了解患者的态度和担忧。
方法
对324例计划行剖宫产的产科患者在进入手术室前进行访谈。要求他们给出一两个拒绝区域麻醉的理由。
结果
其中200例拒绝区域麻醉。最常见的原因是担心目睹手术过程（听觉或视觉方面）（45.42%）以及害怕区域麻醉后背痛（14.58%）。
结论
麻醉医生应了解患者的感受或担忧，并能够且愿意与他们讨论相关问题。
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