病人对麻醉师护理的感知:一项调查研究。

Teodora Nicolescu, John Doerfel, Qaiser Khan
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引用次数: 0

摘要

背景:观察到患者知识与麻醉师选择之间的脱节。目的:评估提高对麻醉学作为一种职业的认识的机会,以及对麻醉实践范围的患者教育。设计:前瞻性研究。单位:美国俄克拉何马州的学术机构和三级保健医院。参与者:238名接受全身麻醉的患者在手术前被接触并同意。未成年人、住院病人、孕妇、囚犯和非英语母语者被排除在外。手术后,156名同意的患者在医院的术后病房接受了一项有8个问题的口头调查。其他82名最初同意研究的患者因病例报告中详细说明的各种原因被排除在外。干预措施:研究是通过对同意回答调查问题的随机患者进行为期七周的调查进行的。主要结果测量:研究证实了假设,但也带来了次要发现。结果:156名受访患者中,19名(12%)患者知道其所属麻醉医师的姓名,仅有15名(9.6%)患者表示对麻醉医师的执业或资质有所了解。对全院环境满意度与其他满意度问题的t检验分析显示,外科医生、护理人员和麻醉师的满意度均显著高于全院环境满意度(p < 0.05)。所有t检验均为双尾检验。结论:研究表明,患者对自己的麻醉医师知之甚少,且不太可能选择自己的麻醉医师。提高患者对麻醉师角色和能力的了解,可以通过提供一份名单和特定的执业能力,或者通过一个易于访问的执业信息在线网站来实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient perceptions of the care received from their anesthesiologist: a survey study.

CONTEXT: Observed disconnect between patient knowledge and choice of anesthesiologist. OBJECTIVES: Assess opportunities to improve perceptions about anesthesiology as a profession, and for patient education on the scope of anesthesia practice. DESIGN: Prospective Study. SETTING: Academic institution and tertiary care hospital in Oklahoma, USA. PARTICIPANTS: 238 patients with a scheduled procedure involving general anesthesia were approached and consented before surgery. Minors, in-patients, pregnant women, prisoners, and non-native English speakers were excluded. Post-procedure, 156 of the consented patients were administered a verbal, eight-question survey in the post-operative are of the hospital. The other 82 patients who had originally consented to the study were excluded for various reasons detailed in the case report. INTERVENTIONS: Study was conducted through surveys over a seven-week period on random patients who consented to answer the survey questions. Main outcome measures: Study confirmed the hypothesis, but also brought out secondary findings. RESULTS: Of the 156 patients surveyed, 19 (12%) knew their anesthesiologist's name, and only 15 (9.6%) said that they knew anything about the anesthesiologist's practice or qualifications. T-test analysis comparing satisfaction with the whole hospital environment to other satisfaction questions showed satisfaction with surgeon, nursing staff, and anesthesiologist were all significantly higher than satisfaction with whole hospital environment (p < 0.05). All T-tests performed were two-tailed tests. CONCLUSIONS: Study indicates that patients know little about their anesthesiologists, and are unlikely to select their own anesthesiologist. Improving patients' knowledge about the anesthesiologists' roles and competencies might be accomplished by providing a list of names and specific practice competencies, or by having an online site of practice information easily accessible.

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