麻醉前视频宣教对全麻患者麻醉信息获取、术前焦虑及麻醉满意度的影响  

Video-assisted pre-anesthetic education improves information acquisition and anesthesia satisfaction for patients undergoing general anesthesia

作　　者：杨溯威 夏燕飞[1] 黄浩[1] 

机构地区：[1]浙江医院麻醉科,杭州310013

出　　处：《浙江医学》2015年第4期314-316,共3页Zhejiang Medical Journal

基　　金：浙江医院医药卫生科学研究基金项目(2012YB013)

摘　　要：目的观察在麻醉前访视时辅助视频宣教对全麻患者麻醉信息获取、术前焦虑及麻醉满意度的影响。方法将105例全麻患者采用随机数字表法分为视频组(V组)53例和常规组(N组)52例,麻醉前访视后,所有患者完成访视内容问卷、STAI状态焦虑评分量表(S-AI)及焦虑视觉类比试验(AVAT)评分,术后24h填写麻醉满意度评分,记录入手术室后10min的心率和平均动脉压值。结果 V组问卷分数(3.80±1.21)分,显著高于N组患者(2.79±1.03)分(P<0.01),V组患者S-AI评分(43.1 1±8.72)分,高于N组患者(38.37±10.72)分(P<0.05),V组患者AVAT评分为(3.15±0.82)分,N组患者(2.94±0.75)分(P>0.05),V组患者满意度评分(95.90±5.49)分,高于N组患者(92.20±5.95)分(P<0.05)。结论对全麻患者麻醉前访视时进行视频宣教和告知,能增加其对宣教和告知内容信息的获取量,提高患者的麻醉满意度;但难以判断其对于术前焦虑的影响。Objective To investigate the effects of video-assisted education in pre-anesthetic visit on information acquisition, preoperational anxiety and anesthesia satisfaction for patients undergoing general anesthesia. Methods One hundred and five patients scheduled to undergoing surgery with general anesthesia were randomly assigned to two groups, 53 patients received video-assisted education in preoperational visit （Video group） and 52 patients did not （control group）. A visit content questionnaire, and evaluation with STAI anxiety Rating Scale （S-AI） and a AVAT anxiety analogue scale were completed for all patients at the end of pre-anesthetic visit. Heart rate and mean arterial pressure were recorded at 10 min after patients entering the operating room. Results Patients in video group had higher questionnaire scores and higher S-AI scores than those in control group （3.80 ± 1.21 vs 2.79 ±1.03, P〈0.01; 43.11 ±8.72 vs 38.37 ± 10.72, P〈0.05）. There was no significant difference AVAT score between two groups （3.15 ± 0.82 vs 2.94 ± 0.75, P 〉0.05）. Patients in video group had higher satisfaction scores than those in control group （95.9 ±5.49 vs 92.2 ± 5.95, P〈0.05）. Conclusion Video-assisted education in pre-anesthetic visit can improve information acquisition and anesthesia satisfaction for patients undergoing general anesthesia, however, its effect on reducing preoperative anxiety is not confirmed.

关 键 词：视频辅助 麻醉前访视 状态-特质焦虑问卷(STAI) 麻醉满意度 

分 类 号：R614[医药卫生—麻醉学]