预麻醉电话咨询的质量:TELECAM随机对照试验
Anaïs Roche1, Maïa Simon2,3, Hervé Bouaziz1
1Department of Anesthesia and Intensive Care, Promotion and Investigation, Lorraine University, CHRU-Nancy, Nancy, France.
概括
麻醉前的远程咨询是可行的和有效的,与临床评估的面对面访问相匹配. 患者报告远程咨询的满意度更高,焦虑程度没有差异.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 预麻醉评估对于手术安全和资源管理至关重要.
- 远程医疗有可能在医疗保健提供中克服地理和后勤障碍.
- 评估远程预麻醉咨询的质量和患者体验至关重要.
研究的目的:
- 评估预麻醉远程咨询与面对面访问的质量.
- 评估与远程咨询相关的可行性,患者满意度和术前焦虑.
- 为了确定麻醉师对执行远程麻醉前评估的满意度.
主要方法:
- 研究者发起的,前性的,单中心的,随机对照试验 (TELECAM).
- 接受门诊骨科或手部手术的患者随机分配到面对面或远程咨询.
- 通过协议评估输管困难,口罩通风和ASA分数的质量.
主要成果:
- 远程咨询的高可行性 (87.5%).
- 在评估输管困难,口罩通风或ASA分数方面,两组之间没有显著差异.
- 远程咨询组患者的术前满意度更高 (p=0.04).
- 手术前焦虑没有差异;麻醉师满意度高.
结论:
- 预麻醉的远程咨询是高质量的,可行的替代体面访问.
- 电话咨询可以提高患者的满意度,而不会影响临床评估或增加焦虑.
- 远程预麻醉评估得到了患者和麻醉师的好评.
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