Patient perceptions about anesthesia and anesthesiologists before and after surgical procedures
Keywords:
Anesthesia, Ethics, General surgery, Human resources, Perioperative careAbstract
CONTEXT AND OBJECTIVE: Anesthesiologist-patient relationships are established preoperatively and intraoperatively. These are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. The aim here was to evaluate patients’ perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions. DESIGN AND SETTING: Prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital. METHODS: 518 patients aged 16 years or over were interviewed before and after anesthesia exposure. A questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists. RESULTS: The patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. Anesthesiologists’ roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% post-anesthesia), pain relief (29.7% pre-anesthesia, 31.7% post-anesthesia), vital sign monitoring (17.6% pre-anesthesia, 35% post-anesthesia; P < 0.05); and drug administration (10.8% pre-anesthesia, 43.9% post-anesthesia; P < 0.05). The level of confidence in the physician was rated high (82.2% and 89.8% pre- and post-anesthesia, respectively; P < 0.05) or intermediate (5.8% and 6.6% pre- and post-anesthesia, respectively; P < 0.05). The care provided by anesthesiologists was classified as: elucidating (52.8%), encouraging (52.6%), neutral (10.2%) and careless (0.8%). CONCLUSION: Patients’ perceptions of anesthesiologists’ roles were fairly good, but improvements in this relationship still need to be pursued, to achieve better outcomes. Anesthetic care was important in providing information, confidence and reassurance among patients, regarding their perceptions. Anesthesiologists should not miss opportunities to provide excellent professional care for patients, thereby improving anesthesia outcomes and their image.
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References
Atallah AN. Science, medical practice and ethics in the next millennium. Sao Paulo Med J. 1998;116(2):1649.
Shevde K, Panagopoulos G. A survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg. 1991;73(2):190-8.
Duncan PG. The image of the anaesthetist. Eur J Anaesthesiol Suppl. 1993;7:3-7.
Lopes CA, Machado PRA, Castiglia YMM. O que pensa o paciente sobre o binômio anestesiologista-anestesia [What does the patient think about the binomial anesthesiologist-anesthesia]. Rev Bras Anestesiol. 1993;43(5):335-40.
Schaeffer RL, Mendenhall W, Ott L. Elementary Survey Sampling. 4th ed. California: Duxbury Press; 1990.
van Belle G, Fisher LD. Biostatistics: a methodology for the health sciences. New York: John Wiley; 1993.
Pereira MGA, Azevêdo ES. A relação médico-paciente em Rio Branco/ AC sob a ótica dos pacientes [Patient-physician relationship in Acre, Rio Branco, from the patient’s point of view]. Rev Assoc Med Bras (1992). 2005;51(3):153-7.
Zvara DA, Nelson JM, Brooker RF, et al. The importance of the postoperative anesthetic visit: do repeated visits improve patient satisfaction or physician recognition? Anesth Analg. 1996;83(4):793-7.
Hariharan S, Merritt-Charles L, Chen D. Patient perception of the role of anesthesiologists: a perspective from the Caribbean. J Clin Anesth. 2006;18(7):504-9.
Laffey JG, Coleman M, Boylan JF. Patients’ knowledge of perioperative care. Ir J Med Sci. 2000;169(2):113-8.
Soar Filho EJ. A interação médico-cliente [The client-doctor interaction]. Rev Assoc Med Bras (1992). 1998;44(1):35-42.
