PDF(Pubmed)
Abstract：
BACKGROUND: A preanesthetic evaluation interview with an anesthesiologist is essential for patient safety, however, it is not performed adequately owing to the excessive workload of doctors. This study aimed to determine whether video-assisted preanesthetic patient education can reduce patient interview time and solve the problem of excessive labor at a relatively low cost.
METHODS: This study considered relatively healthy patients aged 19 to 65 years who were scheduled for elective surgery under general anesthesia. None of the patients had history of general anesthesia. Patients were randomly assigned 1:1 to Groups V and C. Group V watched the preanesthetic education video, while Group C did not. The duration of the preanesthetic evaluation interview was measured for all participants. The satisfaction of the anesthesiologist and patient with the preanesthetic evaluation procedure, anxiety of the patient, and vital signs during surgery were collected.
RESULTS: A total of 33 patients in Group V watched the preanesthetic education video, while 31 patients in Group C did not. Group V spent significantly less time on the preanesthetic evaluation interview with an anesthesiologist than that of Group C (172.42 vs 196.68 seconds; P = .005). There was no difference in patient and anesthesiologist satisfaction between the 2 groups (P = .861 and P = .849, respectively). Patients\' anxiety (P = .474), intraoperative mean blood pressure (P = .168), and heart rate (P = .934) did not differ between Groups V and C.
CONCLUSIONS: Watching the informational video about anesthesia before preanesthetic evaluation could reduce the interview time by an average of 24 seconds, with no difference in patients\' or doctors\' satisfaction or anxiety compared to patients who did not watch it. Video-assisted preanesthetic patient education indicates that the load on anesthesiologists can be reduced.
METHODS: This study considered relatively healthy patients aged 19 to 65 years who were scheduled for elective surgery under general anesthesia. None of the patients had history of general anesthesia. Patients were randomly assigned 1:1 to Groups V and C. Group V watched the preanesthetic education video, while Group C did not. The duration of the preanesthetic evaluation interview was measured for all participants. The satisfaction of the anesthesiologist and patient with the preanesthetic evaluation procedure, anxiety of the patient, and vital signs during surgery were collected.
RESULTS: A total of 33 patients in Group V watched the preanesthetic education video, while 31 patients in Group C did not. Group V spent significantly less time on the preanesthetic evaluation interview with an anesthesiologist than that of Group C (172.42 vs 196.68 seconds; P = .005). There was no difference in patient and anesthesiologist satisfaction between the 2 groups (P = .861 and P = .849, respectively). Patients\' anxiety (P = .474), intraoperative mean blood pressure (P = .168), and heart rate (P = .934) did not differ between Groups V and C.
CONCLUSIONS: Watching the informational video about anesthesia before preanesthetic evaluation could reduce the interview time by an average of 24 seconds, with no difference in patients\' or doctors\' satisfaction or anxiety compared to patients who did not watch it. Video-assisted preanesthetic patient education indicates that the load on anesthesiologists can be reduced.
摘要：
背景：与麻醉师进行麻醉前评估访谈对于患者安全至关重要，然而,由于医生的工作量过大，它没有充分执行。这项研究旨在确定视频辅助麻醉前患者教育是否可以减少患者的访谈时间并以相对较低的成本解决过度劳动的问题。
方法：本研究考虑了19至65岁的相对健康的患者，他们计划在全身麻醉下进行择期手术。所有患者均无全身麻醉史。患者被随机分配1：1到V组和C组，V组观看麻醉前教育视频，C组没有。测量所有参与者的麻醉前评估访谈的持续时间。麻醉医师和患者对麻醉前评估程序的满意度，病人的焦虑，收集手术期间的生命体征。
结果：第五组共33名患者观看了麻醉前教育视频，而C组31例患者没有。与C组相比，V组在与麻醉师进行麻醉前评估访谈上花费的时间明显少于C组（172.42vs196.68秒；P=0.005）。两组患者和麻醉师满意度无差异（分别为P=.861和P=.849）。患者焦虑（P=0.474），术中平均血压（P=0.168），和心率（P=.934）在V组和C组之间没有差异。
结论：在麻醉前评估前观看有关麻醉的信息视频可以平均减少24秒的访谈时间，与没有观看的患者相比，患者或医生的满意度或焦虑没有差异。视频辅助麻醉前患者教育表明可以减轻麻醉医师的负担。
方法：本研究考虑了19至65岁的相对健康的患者，他们计划在全身麻醉下进行择期手术。所有患者均无全身麻醉史。患者被随机分配1：1到V组和C组，V组观看麻醉前教育视频，C组没有。测量所有参与者的麻醉前评估访谈的持续时间。麻醉医师和患者对麻醉前评估程序的满意度，病人的焦虑，收集手术期间的生命体征。
结果：第五组共33名患者观看了麻醉前教育视频，而C组31例患者没有。与C组相比，V组在与麻醉师进行麻醉前评估访谈上花费的时间明显少于C组（172.42vs196.68秒；P=0.005）。两组患者和麻醉师满意度无差异（分别为P=.861和P=.849）。患者焦虑（P=0.474），术中平均血压（P=0.168），和心率（P=.934）在V组和C组之间没有差异。
结论：在麻醉前评估前观看有关麻醉的信息视频可以平均减少24秒的访谈时间，与没有观看的患者相比，患者或医生的满意度或焦虑没有差异。视频辅助麻醉前患者教育表明可以减轻麻醉医师的负担。
