PATIENTS’S DESIRE FOR INFORMATION ABOUT ANESTHESIA: TURKISH ATTITUDES

Abstract

Aim: This study was designed to determine preoperative information needs with accompanyinganxiety when anesthesia is advised and to assess their attitudes towards informed consent.Methods: Following Institutional Review Board approval, 200 ASA physical status I and IIadult (>16 years-old) patients undergoing general anesthesia for surgery, from September toDecember 2008 at Etimesgut Military Hospital were enrolled in the study. A questionnaireadopted from previous studies was given to all subjects. Results: Two hundred patients, undergoing elective surgery, responded to the questionnaire.Most of our patients want to know what their anesthesia involves. Turkish patients prefer toknow more about how soon they can anticipate a return to normal life while, less to know aboutmedical care. Conclusion: In the light of this study doctors must act sensitively, be careful of anxiety and inthe end they have to make judgments on behalf of individual patients; and decide to whichinformation is given

Keywords

• Anesthesia,patient,information

Hastalarin Anestezi Hakkında Bilmek İstedikleri: Türklerin Tutumları

Abstract

Amaç: Bu çalışmanın amacı anestezi alacak hastaların eşlik eden anksiyeteleri ile birliktepreoperatif bilgi isteklerini değerlendirmek ve bilgilendirilmiş onam hakkında tutumlarınıdeğerlendirmektir.Yöntem: Etimesgut Asker Hastanesinde 2008 yılı Eylül Aralık ayları arası cerrahi amaçlı genelanestezi alacak ASA I-II 200 erişkin hasta (>16 yaş) etik kurul onayını takiben çalışmaya dahiledildi. Daha önceki çalışmalardan uyarlanan anket uygulandı.Bulgular: Elektif cerrahi geçirecek 200 hasta sorulara cevap verdi. Hastaların çoğu anestezininneler içerdiğini bilmek istediğini bildirdi. Türk hastaların çoğu ne kadar çabuk normal hayatadöneceğini bilmeyi tercih ederken, daha az olarak tıbbi bakım hakkında bilgi istiyordu.Sonuç: Bu çalışmanın ışığında doktorlar hassas bir şekilde, anksiyeteye dikkat ederek, vesonuçta hastaya özgü hangi bilgileri vereceğine karar vermelidirler

Keywords

• Anestezi,hasta,bilgi

References

1. Paci E, Barneschi MG, Miccinesi G, Falchi S, Metrangolo L, Novelli GP. Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia. European J Anaesth 1999; 16: 160-5.
2. Shevde K, Panagopoulos G. A survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg 1991; 73: 190-8.
3. Swinhoe CF, Groves ER. Patients’ knowledge of anaesthetic practice and the role of anaesthetists. Anaesthesia 1994; 49: 165-6.
4. Hume MA, Kennedy B, Asbury AJ. Patient knowledge of anaesthesia and peri-operative care. Anaesthesia 1994; 49: 715-8.
5. Herman J. The use of patients’ preferences in family practice. J Fam Pract 1985; 20: 153-6.
6. Palmer JA. Decreasing anxiety through patient education. Plast Surg Nurs. 2007; 27(4) 215-20.
7. Scott A. Managing anxiety in ICU patients: the role of pre- operative information provision. Nurs Crit Care. 2004; 9(2):72-9.
8. Kiss CG, Richter-Mueksch S, Stifter E, Diendorfer-Radner G, Velikay-Parel M, Radner W. Informed consent and decision making by cataract patients. ArchOphthalmol. 2004;122(1): 94-8.

9. Krupp W, Spanehl O, Laubach W, Seifert V. Informed consent in neurosurgery:patients' recall of preoperative discussion. Acta Neurochir. 2000; 142(3): 233-8.
10. Shafer A, Fish MP, Gregg KM, Seavello J, Kosek P. Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg. 1996; 83(6): 1285-91.
11. Spielberger CD, Gorsuch RL, Luchens RE. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1970.
12. Le compte A, Öner N. Durumluk ve Sürekli Kaygı Envanterinin Türkçeye Adaptasyon ve Standardizasyonu ile İlgili Bir Çalışma. 9. Milli Psikiyatri ve Nörolojik Bilimler Kongresi Çalışmaları, 457-62.
13. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988; 56(6): 893-7.
14. Ulusoy M, Şahin N, Erkmen H. Turkish Version of The Beck Anxiety Inventory: Psychometric Properties. J Cogn Psychot, Int Q. 1998;12: 163-72.
15. Lonsdale M, Hutchison GL: Patients’ desire for information about anaesthesia: Scottish and Canadian attitudes. Anaesthesia 1991; 46: 410-2.
16. Farnill D, Inglis S: Patients’ desire for information about anaesthesia: Australian attitudes. Anaesthesia 1994;49: 162-4.
17. Kain ZN, Wang SM, Caramico LA, Hofstadter M, Mayes LC. Parental perioperative information desire and informed consent: a two-phase study. Anesth Analg 1997; 84: 299-306.
18. Barlow P. Informed consent. BMJ 1993; 306(6882): 928-9.
19. Chafe SM: Legal obligation of physicians to disclose information to patients. Can Med Assoc J 1991; 144: 681-5.
20. Güzeldemir ME. Hasta bilgilendirmenin önemi. Sendrom Tıp Dergisi. 2005; 1-28.
21. Mayberry MK, Mayberry JF. Towards better informed consent in endoscopy: a study of information and consent processes in gastroscopy and flexible sigmoidoscopy. Eur J Gastroenterol Hepatol 2001; 13:1467-76.
22. Vila JJ, Jimanez FJ, inarrairaegui m, Prieto C, Nantes O, Borda F. Informed consent document in gastrointestinal endoscopy: understanding and acceptance by patients. Rev Esp Enferm Dig. 2006; 98(2): 101-11.
23. Dawes PJ, Davison P. Informed consent: what do patients want to know? J R Soc Med. 1994; 87(3): 149-52.
24. Kielty LA. An investigation into the information received by patients undergoing a gastroscopy in a large teaching hospital in Ireland. Gastroenterol Nurs. 2008; 31(3): 212-22.