全麻患者术前麻醉健康教育内容构建的质性研究

Qualitative study on content of preoperative anesthesia education for patient with general anesthesia

目的深入了解麻醉医护专家对于成人全麻患者麻醉前健康教育内容的建议,为临床实践提供参考.方法采用定性描述性研究,2017年1—3月使用目的抽样选择某三级甲等医院的10名麻醉医护专家,进行半结构式访谈.对访谈资料录音、转录后,采用传统内容分析法,借助QSRNvivo8.0分析.结果麻醉医护专家对成人全麻患者麻醉前健康教育的建议内容包括5个方面：麻醉基本介绍、全身麻醉的风险、术前麻醉准备、手术当日麻醉的经历、术后苏醒或恢复的经历.结论医务人员需加强麻醉基础知识的健康教育,细化手术当日麻醉过程的教育内容,重点提供全麻风险和益处、围麻醉期信息,为全麻患者提供完整、全面的术前麻醉健康教育内容.

Objective To understand the advice of anesthesia experts on the content of preoperative anesthesia education for patient with general anesthesia, and to provide reference for clinical practice. Methods Qualitative descriptive research was used, from January to March 2017, and 10 anesthesia specialists from a Class Ⅲ Grade A hospital were selected by purposive sampling, and received semi structured interview. After recording and transcripting, the data were analyzed by using conventional content analysis with help of QSR Nvivo8.0. Results The recommendations for health education of general anesthesia patients before anesthesia included 5 aspects： basic introduction of anesthesia, risk of general anesthesia, preoperative anesthesia preparation, experience of anesthesia on surgery-day, and postoperative awaking or recovery experience. Conclusions Healthcare providers need to strengthen the basic knowledge of anesthesia education, refine the content of education on the day of surgery, focusing on the risks and benefits of general anesthesia and perioperative anesthesia information,so as to provide a complete and comprehensive preoperative anesthesia education for patient with general anesthesia.