Información preoperatoria al paciente: ¿podemos mejorar la satisfacción y reducir la ansiedad?

Jaime Ortiz , Suwei Wang , MacArthur A. Elayda , Daniel A. Tolpin
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引用次数: 5

Abstract

Background and objectives

Patients’ knowledge deficits concerning anesthesia and the anesthesiologist's role in their care may contribute to anxiety. The objective of this study was to develop anesthesia patient education materials that would help improve patient's satisfaction regarding their knowledge of the perioperative process and decrease anxiety in a community hospital with a large Spanish-speaking population.

Methods

A survey (survey A) in English and Spanish was administered to all adult anesthesiology preoperative clinic patients during a 4-week period. The data were analyzed and then a patient education handout was developed in both English and Spanish to assist with our patients’ major concerns. A second survey (survey B) was administered that was completed after the education handout had been put into use at the clinic. The survey asked for basic demographic information and included questions on satisfaction with regard to understanding of anesthesia as well as worries regarding surgery and pain.

Results

In the patients who received the handout, statistically significant improvement was found in the questions that asked about satisfaction with regard to understanding of type of anesthesia, options for pain control, what patients are supposed to do on the day of surgery, and the amount of information given with regard to anesthetic plan. There was no difference in anxiety related to surgery in patients who received the educational handout compared to those patients who did not.

Conclusions

Patient education handouts improved patient's satisfaction regarding their knowledge of the perioperative process but did not reduce anxiety related to surgery.

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术前患者信息:我们能提高满意度,减少焦虑吗?
背景与目的患者对麻醉知识的缺乏以及麻醉医师在其护理中的作用可能导致焦虑。本研究的目的是开发麻醉患者教育材料,以帮助提高患者对围手术期知识的满意度,并减少社区医院西班牙语人口的焦虑。方法对所有成年麻醉术前临床患者进行为期4周的英语和西班牙语问卷调查(survey A)。我们对数据进行了分析,然后用英语和西班牙语制作了一份患者教育讲义,以帮助我们的患者解决主要问题。第二项调查(调查B)是在教育讲义在诊所投入使用后完成的。该调查询问了基本的人口统计信息,包括对麻醉理解的满意度以及对手术和疼痛的担忧。结果患者对麻醉方式的了解、疼痛控制的选择、手术当日应做的事情、麻醉方案的知晓程度等方面的满意度均有统计学意义的提高。接受教育材料的患者与没有接受教育材料的患者在与手术相关的焦虑方面没有差异。结论患者教育讲义提高了患者对围手术期知识的满意度,但没有减少与手术相关的焦虑。
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