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KMID : 0191120140290020287
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Journal of Korean Medical Science
2014 Volume.29 No. 2 p.287 ~ p.291
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Patient Preference and Satisfaction with Their Involvement in the Selection of an Anesthetic Method for Surgery
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Hwang Sung-Mi
Lee Jae-Jun
Jang Ji-Su
Gim Gi-Ho
Kim Min-Chul
Lim So-Young
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Abstract
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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.
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KEYWORD
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Anesthesia, Decision Making, Patient-Centered Care, Patient Participation
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