Patients and jargon: are we speaking the same language?

Area of Science:

• Anesthesiology
• Patient Communication
• Medical Terminology

Background:

• Effective communication is crucial in healthcare, especially during the preoperative anesthetic visit.
• Patient comprehension of medical jargon can significantly impact informed consent and adherence to medical advice.

Purpose of the Study:

• To evaluate surgical patients' understanding of frequently used terms during preoperative anesthetic consultations.
• To identify specific medical terms that pose comprehension challenges for patients.

Main Methods:

• A questionnaire-based study was conducted in a university hospital's preanesthetic holding area.
• 96 patients across various ASA physical statuses completed a survey assessing their understanding of 10 common preoperative terms.
• Demographic data including age and education level were collected alongside term comprehension.

Main Results:

• High correct response rates were observed for EKG (92.7%), i.v. (91.7%), general anesthesia (81.3%), and local/regional anesthesia (81.3%).
• Terms with the lowest comprehension included NPO (31.3%), myocardial infarction (MI) (32.3%), and pulse oximetry (pulse ox) (39.6%).
• Higher education levels correlated with better understanding, while age did not show a significant association.

Conclusions:

• While basic terms like EKG and i.v. are generally understood, more complex terms require enhanced patient education.
• Anesthesiologists should consider avoiding or thoroughly explaining terms such as NPO, MI, and pulse oximetry to improve patient understanding.
• Clearer communication strategies are needed to ensure patients fully grasp critical information before surgery.