Chinese Medical Sciences Journal ›› 2019, Vol. 34 ›› Issue (2): 140-146.doi: 10.24920/003503

• 研究论文 • 上一篇    下一篇

中国大型综合医院住院手术患者对麻醉医生认知情况的调查研究

李敏娜,马璐璐,虞雪融,黄宇光   

  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,中国
  • 收稿日期:2018-09-07 接受日期:2018-12-04 出版日期:2019-06-11 发布日期:2019-06-11

A Survey of Surgical Patient’s Perception about Anesthesiologist in a Large Scale Comprehensive Hospital in China

Li Minna,Ma Lulu,Yu Xuerong,Huang* Yuguang   

  1. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2018-09-07 Accepted:2018-12-04 Published:2019-06-11 Online:2019-06-11

摘要: 目的 评估手术患者对麻醉医生工作角色的认知情况和对麻醉医疗服务的期望。方法 我们设计了一份自填式调查问卷,选择择期手术的成年住院患者,于术前一天麻醉访视前发放给患者。收集应答者的人口学数据,教育背景,健康信息认知能力,既往麻醉经历,对麻醉医生各项工作职责的了解,以及对麻醉医疗服务的期望。数据分析采用描述性分析,卡方检验和多元线性回归分析。结果 550位参与问卷调查的患者中,共有521位(94.7%)完成了问卷。 其中335位(64.3%)认为麻醉学是一门独立的医学学科,225位(43.2%)认为麻醉科是独立的临床科室,243位(46.6%)认为麻醉师是具有资质的医生。只有21.5%和26.9%的应答者知道麻醉医生也在重症监护室和疼痛门诊负有工作职责。多元线性回归分析发现,年轻患者(β=-0.044,P<0.001)、教育程度较高的患者(β=1.200,P<0.001)和健康认知能力较好的患者(β=0.781,P=0.005)对于麻醉医生工作角色了解较为全面。应答者中有80.5%期望麻醉前访视,74.1%期望有术前麻醉门诊,77.1%希望获取更多关于麻醉和麻醉医生的信息。结论 手术患者对于麻醉医生的了解有限。需要加强对患者的麻醉知识教育,特别是对年长和教育程度较低的患者。大多数手术患者期望有术前麻醉门诊。

关键词: 患者认知, 麻醉学, 麻醉医生, 术前门诊

Abstract: Objectives This study aim to evaluate patient’s perception about anesthesiologists’ job roles and investigate their expectations for anesthesia care.Methods We designed a self-administered questionnaire for this cross-sectional survey study and delivered questionnaire forms to adult in-patients who were scheduled for elective surgery before pre-operative anesthetic visit the day before surgery. We collected information of respondents’ demographic data, education background, health literacy and previous experience of anesthesia, perception of anesthesiologist’s job, the expectation on anesthesia care. Descriptive analyses, χ [2] test and multiple linear regression analysis were used for data analysis. Results Of 550 participants, 521(94.7%)completed the questionnaire. In these respondents, 335 (64.3%) considered anesthesiology as an independent medical discipline, 225 (43.2%) believed that anesthesiology department was an independent clinical department, and 243 (46.6%) recognized anesthesiologists as qualified doctors. Only 21.5% of them knew that anesthesiologists also work in the intensive care unit and 26.9% of them knew that anesthesiologists also work in pain clinic as well. Younger patients (β=-0.044, P<0.001), those with higher education (β=1.200, P<0.001), or with better health literacy (β=0.781, P=0.005) had significant more knowledge about the job roles of anesthesiologists. Most patients demanded pre-anesthetic visit (80.5%), expected availability of preoperative anesthetic clinic (74.1%), wished to receive more information about anesthesia (91.3%) and anesthesiologist (77.4%).Conclusions Patients’ perception about anesthesiologists might be limited. Efforts should be made on education about anesthesia, especially for elderly patients and those under-educated patients. Preoperative anesthetic clinic is expected by most in-patients.

Key words: patients’ perception;, anesthesiology, anesthesiologist, preoperative clinic

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