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Revista Brasileira de Anestesiologia
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Revista Brasileira de Anestesiologia
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Revista Brasileira de Anestesiologia
Article . 2015
License: CC BY NC ND
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O anestesiologista: a visão do doente

Authors: Joana Mourão; Carolina Sobrinho Ribeiro;

O anestesiologista: a visão do doente

Abstract

ResumoJustificativa/objetivosA anestesia ainda é uma preocupação importante para os doentes, embora as complicações anestésicas tenham diminuído significativamente. Adicionalmente, o papel atribuído ao anestesiologista permanece impreciso. Avaliar as preocupações com a anestesia e verificar o conhecimento dos doentes acerca das funções do anestesiologista foram os objetivos deste estudo.MétodosEstudo prospetivo decorrido durante 3 meses em doentes com consulta de anestesia pré‐operatória num Hospital Universitário. Foi questionada informação demográfica, nível de educação e anestesia prévia. Foi avaliado o conhecimento dos doentes relativamente à educação do anestesiologista. As preocupações dos doentes, responsabilidades dos anestesiologistas e cirurgiões foram classificadas usando uma escala de 5 pontos. A análise foi realizada com SPSS 21, p<0,05 foi considerado estatisticamente significativo.ResultadosForam incluídos 204 doentes. 135 (66,2%) reconheceram o anestesiologista como médico especialista. Não acordar após a cirurgia e infeção pós‐operatória foram as principais preocupações, comparativamente a todas as outras (p<0,05). As mulheres manifestaram maior preocupação do que os homens com (p<0,05): não acordar após a cirurgia, náuseas e vómitos pós‐operatórios, problemas médicos e acordar durante a cirurgia. Assegurar que os doentes não acordem durante a cirurgia foi a tarefa mais reconhecida no anestesiologista, comparativamente a todas as outras (p<0,05). O cirurgião foi mais reconhecido (p<0,05) do que o anestesiologista na gestão da dor pós‐operatória, administração de antibióticos e transfusões sanguíneas.ConclusõesOs doentes necessitam de ser informados acerca da atual segurança da anestesia e sobre as funções do anestesiologista. Envolver o doente irá desmistificar alguns receios e reassegurar a confiança no sistema de saúde.AbstractBackground and objectivesAnesthesia is still a major concern for patients, although the anesthetic complications have decreased significantly. Additionally, the role assigned to the anesthesiologist remains inaccurate. The aim of this study was to evaluate the concerns with anesthesia and assess the patient's knowledge about the anesthesiologist's duties.MethodsProspective study conducted over three months with patients in the preoperative anesthetic visit in a university hospital. Demographic information about the level of education and prior anesthesia was obtained. The knowledge of patients regarding the anesthesiologists’ education was evaluated. Patients’ concerns and anesthesiologist and surgeon responsibilities were classified with a 5‐point scale. The analysis was performed with SPSS 21, and p<0.05 was considered statistically significant.ResultsWe included 204 patients, and 135 (66.2%) recognized the anesthesiologist as a specialist physician. Not waking up after surgery and postoperative infection were the main concerns compared to all others (p<0.05). Women expressed more concern than men about not waking up after surgery, nausea and postoperative vomiting, medical problems, and waking up during surgery (p<0.05). Ensure that patients do not wake up during surgery was the anesthesiologist task most recognized, compared to all other (p<0.05). The surgeon was more recognized (p<0.05) than the anesthesiologist in post‐operative, antibiotics administration, and blood transfusions pain management.ConclusionsPatients need to be informed about the current safety of anesthesia and the anesthesiologist's functions. The patient involvement will demystify some fears and reassure the confidence in the health system.

Keywords

Anesthesiology and Pain Medicine, Anesthesiology, Anestesiologia, Patient satisfaction, Doctor‐patient relationship, Relação médico‐doente, Satisfação do doente

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
9
Average
Average
Average
gold