传统麻醉护士教育与人工智能聊天机器人 (ChatGPT) 对术前焦虑干预的比较：随机对照试验。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.005

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引用次数: 0

摘要

目的：本研究旨在评估人工智能（AI）聊天机器人（ChatGPT-3.5，OpenAI）对降低全身麻醉手术成年患者术前焦虑和患者满意度的影响：研究采用单盲随机对照试验设计：本研究共招募了 100 名成年患者，将其分为两组：对照组和干预组各 50 人，对照组患者接受麻醉护士提供的标准术前信息，干预组患者与 ChatGPT 进行互动。主要结果是术前焦虑减少，采用日本国家-特质焦虑量表（STAI）自我报告问卷进行测量。次要终点包括参与者满意度（Q1）、对治疗过程的理解（Q2）以及认为人工智能聊天机器人的回复比护士的回复更相关（Q3）：在完成研究的 85 名参与者中，对照组的 STAI 分数保持稳定，而干预组的 STAI 分数有所下降。混合效应模型显示，时间和组间交互作用对 STAI 分数有显著影响；但没有观察到主组效应。次要终点显示的结果不一；一些患者发现聊天机器人的回复更有意义，而另一些患者则不满意或遇到困难：结论：与对照组相比，ChatGPT 干预能明显减轻术前焦虑；但在 STAI 评分方面未观察到总体差异。次要终点结果参差不齐，这凸显了完善聊天机器人算法和知识库以提高性能和满意度的必要性。人工智能聊天机器人应该补充而不是取代人类医疗服务提供者。人工智能聊天机器人、患者和医疗服务提供者之间的无缝集成和有效沟通对于优化患者治疗效果至关重要。

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Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety: A Randomized Controlled Trial

Purpose

This study aimed to evaluate the effects of an artificial intelligence (AI) chatbot (ChatGPT-3.5, OpenAI) on preoperative anxiety reduction and patient satisfaction in adult patients undergoing surgery under general anesthesia.

Design

The study used a single-blind, randomized controlled trial design.

Methods

In this study, 100 adult patients were enrolled and divided into two groups: 50 in the control group, in which patients received standard preoperative information from anesthesia nurses, and 50 in the intervention group, in which patients interacted with ChatGPT. The primary outcome, preoperative anxiety reduction, was measured using the Japanese State-Trait Anxiety Inventory (STAI) self-report questionnaire. The secondary endpoints included participant satisfaction (Q1), comprehension of the treatment process (Q2), and the perception of the AI chatbot’s responses as more relevant than those of the nurses (Q3).

Findings

Of the 85 participants who completed the study, the STAI scores in the control group remained stable, whereas those in the intervention group decreased. The mixed-effects model showed significant effects of time and group-time interaction on the STAI scores; however, no main group effect was observed. The secondary endpoints revealed mixed results; some patients found that the chatbot’s responses were more relevant, whereas others were dissatisfied or experienced difficulties.

Conclusions

The ChatGPT intervention significantly reduced preoperative anxiety compared with the control group; however, no overall difference in the STAI scores was observed. The mixed secondary endpoint results highlight the need for refining chatbot algorithms and knowledge bases to improve performance and satisfaction. AI chatbots should complement, rather than replace, human health care providers. Seamless integration and effective communication among AI chatbots, patients, and health care providers are essential for optimizing patient outcomes.

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.