预手术麻醉咨询的沟通培训减少了焦虑:一个前性,患者盲目的预后干预研究
Nina Zech1, Anna Bauer, Ernil Hansen
1From the Department of Anaesthesiology, University Hospital Regensburg, Regensburg, Germany.
Anesthesia and analgesia
|December 4, 2025
概括
在特定的沟通技巧中训练麻醉师显著减少了手术前患者的焦虑. 这种有针对性的方法通过减轻负面期望和增强术前麻醉咨询经验来改善患者的结果.
科学领域:
- 麻醉学 麻醉学
- 医学教育 医学教育
- 患者沟通 患者沟通
背景情况:
- 手术前麻醉咨询可以引起患者的负面期望和焦虑,可能导致nocebo效应和较差的手术结果.
- 患者的焦虑与外科手术的负面结果密切相关,这凸显了有效的焦虑减轻策略的必要性.
- 对麻醉科医生进行有效的沟通技能培训对于管理手术前焦虑至关重要.
研究的目的:
- 评估麻醉科医生沟通技巧培训对患者在手术前咨询期间焦虑水平的影响.
- 确定增强的沟通策略是否可以减轻与风险披露相关的nocebo效应.
主要方法:
- 一个单一机构的研究测量了患者的焦虑,使用国家焦虑清单 (STAI-S),数值评分表 (NRS) 和阿姆斯特丹手术前焦虑和信息表 (APAIS).
- 麻醉师接受了一小时的培训,重点是积极的沟通方面 (益处,监测,管理不良事件),以及风险信息.
- 患者被分为对照组 (标准咨询) 和干预组 (与训练有素的麻醉师进行咨询).
主要成果:
- 在85%的患者中,手术前的咨询减少了麻醉相关的焦虑.
- 干预组,其麻醉师接受了培训,与对照组 (81.5%) (p = 0.003) 相比,显示出更明显的焦虑减轻 (89.5%).
- 与麻醉相关的焦虑显著下降 (-11%),在患有高预先存在的焦虑症的患者中观察到的最实质性的改善.
结论:
- 一次关于风险沟通的培训会显著提高了麻醉师减少患者焦虑的能力.
- 基于证据的风险沟通教育干预措施在临床实践中是可行的和有效的.
- 改善手术前的沟通是提高患者安全和手术结果的重要策略.
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