播放详尽的麻醉风险教育视频对患者焦虑情绪及麻醉前访视所用时间的影响：一项随机对照研究  

作　　者：Cornelie Salzwedel, Cand. Med Corinna Petersen, PhD Irmgard Blanc, MD Uwe Koch, MD, PhD Alwin E. Goetz, MD Martin Schuster, MD, MA 王倩(译) 王天龙(校) 

机构地区：[1]Department of Anesthesiology and Institute and Policlinic of Medical Psychology, University Hospital Hamburg-Eppendorf, Hamburg, Germany [2]不详

出　　处：《麻醉与镇痛》2008年第6期90-97,共8页Anesthesia & Analgesia

摘　　要：背景麻醉前访视时采用视频辅助方式对患者进行宣传教育是一种新方法，可以增加患者对麻醉过程及风险的了解。但尚不清楚该方法对患者的焦虑情绪以及手术前访视所用时间的影响。方法209例患者，在行大手术前到麻醉门诊进行手术前访视，随机分为3组：无视频组（G1）、访视前播放视频组（G2）、访视后播放视频组（G3）。访视前和访视后采用焦虑状态分级和视觉模拟评分考察患者的焦虑程度。访视后采用标准化问卷了解患者对麻醉技术以及相关风险的了解程度和满意度。结果3组之间在焦虑程度以及患者满意度方面没有显著性差异。观看视频的患者麻醉知识了解程度远高于未观看视频的患者。与G1组（17．6±7．2分钟）、G3（18．3±9．6分钟）组相比，G2（23．1±14．0分钟）组患者访视所用时间明显延长。这一差别在拟行有创监测的患者亚组中更为显著。结论本研究结果表明，使用视频对患者进行详尽的麻醉风险教育不能改变患者的焦虑情绪，但可以增加患者对麻醉过程及相关风险的了解。患者在麻醉访视前观看视频，将增加访视所用时间。BACKGROUND： Video-assisted patient education during the preanesthetic clinic visit is a new intervention to increase knowledge transfer to the patient regarding anesthesia procedure and risks. However, little is known about whether video-based patient education influences patient anxiety and the duration of the preanesthetic visit. METHODS： Two hun-dred nine consecutive patients, who visited the anesthesia clinic before major operations, were randomly assigned to one of three groups： no-video （Group 1 ）, video-before-interview （Group 2）, and video-after-interview （Group 3）. Anxiety levels were measured before and after the interview using the state trait anxiety inventory and a visual analog scale （anxiety）. Patient knowledge regarding anesthesia technique, anesthesia-related risks, and patient satisfaction were assessed after the interview using standardized questionnaires. RESULTS： There were no significant differences in anxiety levels and patient satis-faction among the three groups. Patient knowledge was significantly higher in the video groups compared with the no-video group. The duration of the preanesthetic interview was significantly extended in Group 2 （video-before） （23.1±14.0 min）, compared with Group 1 （no-video） （17.6±7.2 min）, and Group 3 （video-after） （18.3±9.6 min）. This difference was even more profound in subgroups of patients scheduled for anesthesia techniques with invasive monitoring. CONCLUSION： Our study suggests that the use of a video for detailed anesthesia risk education does not change patient anxiety, but leads to a better understanding of the procedure and risks of anesthesia. When the video is shown before the preanesthetic interview, the interview is longer.

关 键 词：麻醉前访视 随机对照研究 风险教育 焦虑情绪 视频 手术前访视 患者满意度 视觉模拟评分 

分 类 号：R395[哲学宗教—心理学] R969.4[医药卫生—医学心理学]