评估英国患者对麻醉师和麻醉学的知识
Oliver J H Baker1, Rama Varadan1
1Department of Anaesthesia, Mid Yorkshire Hospitals Teaching Trust, Wakefield, UK.
BJA open
|January 21, 2025
概括
患者意识到麻醉师是医生仍然很低,二十年来没有任何改善. 在手术当天接触麻醉师并没有提高患者对其角色或麻醉的了解.
科学领域:
- 医学教育 医学教育
- 了解患者的理解
- 麻醉学 麻醉学
背景情况:
- 之前的英国研究表明,公众对麻醉师的医疗资格和角色的认识很差.
- 20多年来,患者对麻醉师的知识一直低于最佳水平.
研究的目的:
- 评估目前患者对英国麻醉师和麻醉学的知识.
- 为了确定患者的知识是否与以前的研究相比有所改善.
- 评估日间外科手术暴露对患者对麻醉师角色的理解的影响.
主要方法:
- 一个单中心的横截面研究,涉及150名接受日间外科手术的患者.
- 患者填写了手术前和手术后的问卷,评估他们的知识.
- 纳入标准:成年患者尚未被麻醉师预先评估,而不是医疗保健专业人员.
主要成果:
- 只有39.3%的患者在手术前知道麻醉师是医生,而手术后这一比例降至38%.
- 手术后没有观察到患者对麻醉师角色的知识有显著改善 (p>0.05).
- 患者正确识别了在手术室 (80%),ICU (54%) 和分娩病房 (50%) 中麻醉师的存在.
结论:
- 很大一部分患者仍然不知道麻醉师是有医疗资格的医生.
- 在手术当天直接接触麻醉师不会改善患者对其角色或麻醉的知识.
- 需要进一步的干预,以提高公众和患者对麻醉师的专业知识和实践范围的理解.
相关概念视频
General Anesthesia: Overview
190
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
190
Stages of General Anesthesia
355
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
355
Inhalational Anesthetics: Overview
172
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
172
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
956
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
956
Assessment of the Cardiovascular System I: Subjective Data
276
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
276


