宣传手册对患者麻醉相关不适感及满意度的影响  

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

作　　者：李敏娜[1] 彭云[2] 虞雪融[1] 李晗歌[1] 裴丽坚[1] 黄宇光[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730 [2]中南大学湘雅医院国际医疗部外科,湖南长沙410008

出　　处：《基础医学与临床》2016年第6期875-878,共4页Basic and Clinical Medicine

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2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'sα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(75.0%)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,但可提高患者对术前信息及麻醉科医疗服务总体满意度。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. 0%）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）. Conclusions Brochure can improve patients＇ satisfaction with information given and anestheticcare in general,but it is not able to significantly change the occurence of anesthesia-related discomfort.

关 键 词：麻醉 手册 满意度 不适感 

分 类 号：R614[医药卫生—麻醉学]