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Published on: August 1, 2019
[Survey on the need for information during the preanesthesia visit]
K Umgelter1, A Anetsberger, S Schmid
1Klinik für Anaesthesiologie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland, katrin.umgelter@lrz.tum.de.
Tailoring preanesthesia information to patient needs is crucial for autonomy. While demographic factors like education and health status influence information demands, their impact is modest, emphasizing personalized consultations.
Area of Science:
- Anesthesiology and Perioperative Medicine
- Patient Education and Communication
- Health Services Research
Context:
- The preanesthesia informed consent process is often viewed as a legal formality.
- Effective patient autonomy requires clear and useful delivery of relevant medical information.
- Understanding patient information needs is essential for optimizing the preanesthesia visit.
Purpose:
- To determine patient information needs concerning anesthesia during the preanesthesia visit.
- To evaluate if information extent is dependent on demographic parameters and patient characteristics.
- To identify factors influencing patient preferences for the type and amount of information received.
Summary:
- A study of 699 elective surgery patients found that while many were satisfied with preanesthesia information, a significant portion desired more or less detail.
- Education level, American Society of Anesthesiologists (ASA) physical status, and health-related quality of life (HRQoL) were independently associated with information needs.
- Patients appreciated consultations more than written materials for understanding anesthesia-related information, including risks and perioperative processes.
Impact:
- Findings suggest that demographic criteria can help personalize preanesthetic information, though their explanatory power is limited.
- The correlation between self-assessed HRQoL and information demand highlights the need for adaptable information delivery.
- This study provides insights into optimizing patient-centered communication in preanesthesia care within a German surgical cohort.
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