基础医学与临床 ›› 2016, Vol. 36 ›› Issue (6): 875-878.

• 医学教育 • 上一篇    

宣传手册对患者麻醉相关不适感及满意度的影响

李敏娜1,彭云2,虞雪融3,李晗歌1,裴丽坚1,黄宇光1   

  1. 1. 北京协和医院
    2. 中南大学湘雅医院
    3. 北京协和医院麻醉科
  • 收稿日期:2016-04-05 修回日期:2016-04-20 出版日期:2016-06-05 发布日期:2016-05-27
  • 通讯作者: 黄宇光 E-mail:garybeijing@163.com

Effect of brochure on patients’ anesthesia-related discomfort and satisfaction

  • Received:2016-04-05 Revised:2016-04-20 Online:2016-06-05 Published:2016-05-27

摘要: 目的 探索术前发放宣传手册对全麻患者麻醉相关不适感及满意度的影响。方法 选取量表翻译并修订,将北京协和医院拟择期行全麻甲状腺手术患者160例随机分成2组,手册组80例于麻醉访视前发放教育手册而对照组80例不发放,术后第二天调查患者麻醉相关不适感及满意度。结果 量表内部一致性用Cronbach’s α系数测量,为0.830,内容效度指数(CVI)为0.960。术后最常见的麻醉相关不适感为手术部位疼痛(84.4%),嗓子疼(79.1%),嗜睡(75%)和口渴(69.4%)。麻醉总体满意度较高(>90%),不满意程度最高的为术后恶心呕吐的治疗(22.5%)和术后疼痛的治疗(15.0%)。两组麻醉相关不适感无显著差异,手册组对术前信息提供和麻醉科医疗服务总体满意显著高于对照组(P<0.05)。 结论 宣传手册不能显著改变麻醉相关不适感的发生率,可提高患者对术前信息及麻醉科医疗服务总体满意度。

关键词: 麻醉, 手册, 满意度, 不适感

Abstract: Objective To evaluate the effect of brochure on anesthesia related discomfort and satisfaction for patients undergoing general anesthesia. Methods A selected scale was translated and modified. One hundred and sixty patients scheduled for selective thyroid surgery with general anesthesia in Peking Union Medical College Hospital were randomly assigned to two groups, 80 patients received brochure before preoperational visit (brochure group) and 80 patients did not (control group). Questionnaires which used for evaluating patients’ anesthesia related discomfort and satisfaction were completed on the second postoperative day. Results Internal consistency, as measured by Cronbach’s α was 0.830. Content Validity Index (CVI) was 0.960. The most common anesthesia related discomfort were “pain at the site of surgery”(84.4%), “sore throat”(79.1%), “drowsiness“(75%) and “thirst”(69.4%). The data on patient satisfaction showed a high degree of satisfaction (>90%), the most dissatisfaction were “treatment of PONV” (22.5%) and “pain therapy after surgery” (15.0%). There was no significant difference in anesthesia related discomfort between the two groups. Compared with the control group, patients in brochure group had significantly higher satisfaction with “information given” and “satisfaction in general” (P<0.05). Conclusion Brochure can improve patients’ satisfaction with information given and anesthetic care in general, but it could not significantly alter patients’ anesthesia related discomfort.

Key words: anesthesia, brochure, satisfaction, discomfort

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