The preanesthetic interview by anesthesiology residents: analysis of time and content

Effect of an educational video about ERAS on reducing preoperative anxiety and promoting recovery

Video propaganda is reported effectively improving patients' understanding of operation. However, whether a video introducing patients' most concerns can reduce preoperative anxiety and promote recovery stays unsealed. In this study, we investigated the effects of complementary therapy of educational video during preoperative visit. The results showed that thirty-five (23.2%) parents in Group Control were diagnosed as anxiety according to SAS, and nineteen (12.3%) patients were diagnosed after video intervention. The APAIs anxiety score and APAIs information score in Group Video were lower than those in Group Control. Compared with Group Control, video visit helped to increase the first-attempt pass rate of the knowledge retention exam and solve the patient's most worried concerns, and decrease incidence of emergence agitation, total cost of hospitalization and length of hospital stay. Moreover, video visit improved satisfaction degrees of patients and their main family members. Briefly, our study demonstrated video visit can improve patients' knowledge of anesthesia and decrease their preoperative anxiety, which may represent an important complementary therapy to routine preoperative visits.

A comparison of face-to-face, brochure- and video-assisted anesthesia interviews: a qualitative randomized survey study

BACKGROUND

Previous studies showed mixed results for patient satisfaction by supplementing the pre-anesthetic assessment with written or audio-visual materials. We hypothesize that an audio-visual aid or a brochure in addition to face-to-face interview, leads to improved patient satisfaction and shortens the pre-anesthetic assessment duration.

METHODS

We randomly assigned 1051 patients scheduled for pre-anesthetic assessment to three different groups: face-to-face pre-anesthetic interview alone (Group 1), videos before the interview (Group 2), and brochure before the interview (Group 3). All patients were asked to complete a post-interview questionnaire assessing patient satisfaction, knowledge gain, prior experience with anesthesia, and quality of supplementary media.

RESULTS

The use of additional materials immediately before the pre-anesthetic interview did increase the overall patient satisfaction (F(2, 1003) = 3.10, p <0 .05, ƞ² = 0.006) but not the interview satisfaction (F(2, 1011) = 0.756, p >0 .05) nor information gain (procedure explanations F(2, 987) = 0.400, p > 0.05) or quality of answered questions (F(2, 1029) = 0.769, p > 0.05). A statistically significant effect on interview satisfaction (F(13,996) = 5.15, p < 0.01., ƞ² = 0.063), overall satisfaction (F(13,988) = 4.25, p < 0.01., ƞ² = 0.053) and given explanations (F(13, 972) = 3.132, p < 0.001, ƞ² = 0.04) was associated with the explanation of different anesthetic techniques by the provider. No differences of response quality between the anesthesiologists was found (F(13, 1014) = 1.494, p > 0.05).

CONCLUSIONS

Additional information imparted in the form of an educational brochure or videos immediately before the pre-anesthetic assessment and interview does not lead to higher patient satisfaction.

Patient preference and satisfaction with their involvement in the selection of an anesthetic method for surgery

This prospective study aimed to evaluate the satisfaction of patients who participated in the decision-making process for selecting an anesthesia method for surgery; the patients' preferred role (active, collaborative or passive) in the decision-making; and the patients' preferred choice of anesthetic method. The study included 257 patients scheduled for simple elective surgeries involving the upper or lower extremities. During the preanesthetic visit, patients were informed regarding two methods of anesthesia for their surgeries, and participated in selecting one option. Of the 257 patients, 69.6% preferred a collaborative role, 18.3% and 12.1% preferred an active and a passive role, respectively. Among patients requiring surgery on an upper extremity and on a lower extremity, 64.3% and 51.3% expressed a preference for general anesthesia over regional anesthesia, respectively. After surgery, the majority of our patients were satisfied (93.4%) and felt respected (97.7%). Furthermore, the patients expressed a change in preference for assuming an active role (49.4%) and a collaborative role (43.6%) in the decision-making process for their future anesthesia needs. This study may help to promote patient centered care in a department of anesthesiology.