麻醉教育手册对患者知识获取、术前焦虑、信任及满意程度的影响  

Influence of Anesthetic Brochure on Patient's Information Gain,Preoperative Anxiety,Trust,and Satisfaction

作　　者：李敏娜[1] 虞雪融[1] 王亚娟[2] 柏满云[3] 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]河北省保定市妇幼保健院麻醉科,河北保定071000 [3]湖南省长沙市第四医院麻醉科,长沙410006

出　　处：《中国医学科学院学报》2016年第6期632-636,共5页Acta Academiae Medicinae Sinicae

摘　　要：目的评价术前麻醉教育手册对全麻患者麻醉知识获取、术前焦虑、对麻醉医生的信任及对麻醉前访视满意度的影响。方法选取北京协和医院择期行全麻甲状腺手术的患者134例按随机数字表法分成2组,手册组68例于麻醉访视前发放麻醉教育手册,对照组66例不发放,访视后完成麻醉知识获取、术前焦虑及信任程度的问卷,术后第2天完成对麻醉前访视满意度评分。结果手册组患者知识总分显著高于对照组(7.2±1.8比5.2±2.1,P<0.001),对麻醉前访视满意度评分显著高于对照组(25.0±3.4比22.7±3.1,P<0.001),两组焦虑及信任评分差异无统计学意义。结论术前麻醉宣传手册辅助教育可提高患者麻醉知识和对麻醉前访视的满意度,但不能改变患者术前焦虑水平和对医生的信任。Objective To assess the impacts of anesthetic brochure on anesthetic information gain,preoperative anxiety,trust to anesthesiologists,and satisfaction to the preanesthesia visit for patients undergoing general anesthesia. Methods Totally 134 patients scheduled for elective thyroid surgery under general anesthesia in Peking Union Medical College Hospital were assigned to two groups using the random number table method,among whom 68 patients received brochure before preoperative visit（ brochure group） and 66 patients did not（control group）. Questionnaires with items for evaluating patient＇s information gain,preoperative anxiety and trust were completed after preanesthetic visit. Patient＇s satisfaction with preanesthetic visit was evaluated on the second postoperative day. Results Compared with the control group,patients in the brochure group had significantly higher information gain scores（7. 2 ± 1. 8 vs. 5. 2 ± 2. 1,P〈0.001） and satisfaction scores（25. 0 ± 3. 4vs. 22. 7 ± 3. 1,P〈0.001）. There was no significant difference in anxiety scores and trust scores between these two groups. Conclusion Preoperative anesthetic brochure-assisted education can improve information gain and satisfaction among patients undergoing general anesthesia; however,it can not remarkably alter patient＇s preoperative anxiety and trust.

关 键 词：宣传手册 术前教育 焦虑 信任 满意度 

分 类 号：R614.2[医药卫生—麻醉学]