Evidence Based Practice and Quality Assurance
Background and Goal of Study: Anaesthesiology as a discipline is taking great steps forward in the last few decades, giving the anaesthesiologists the opportunity to move out of a shadow. Is a patient's perception of an anaesthesiologist accordingly changing?
Materials and Methods: On a sample of 111 patients operated in our General hospital we tried to establish their perception of our duties and ourselves and to compare our results with similar foreign investigations, since such investigation has not been conducted in Croatia so far. The data were collected using a questionnaire, distributed at the end of preoperative visit. We also examined the impact of an information booklet, provided only to the patients who preoperatively visited our preanestetic clinic (54), as well as the impact of the previous operation to their knowledge (66). The results were compared using Chi-square test.
Results: Only 60.4% of our patients knew anaesthesiologists are doctors, comparing to 100% for surgeons and 80.2% for internists, which is comparable to study from Netherlands (1). Patients who were previously operated (69.7% vs 46.7%), as well as those who got the information booklet (74.1 % vs 47.4%) were signifficantly better informed about this basic fact (p < 0.05). Except painless delivery (patients who got the information booklet were signifficantly better informed, p < 0.05), we could not establish any difference in the knowledge between the investigated groups. The results of our study are corresponding with the results of the recent study from Finland (2), especially concerning the duties outside the operating room.
Conclusions: The knowledge of our patients is poor, confirming the fact that anaesthesiologist still works in shadow. We can also confirm allready established facts that previously operated patient does not mean well informed patient and the poor impact of the information booklet to the knowledge of our patients as well. Better knowledge about painless delivery is a bit surprising, since our study was not conducted in the obstetric department and we had more male examinees (60.4%).
1 van Wijk MG, Smallhout B. Anaesthesia 1990;45:679-682.
2 Tohmo H, Palve H, Illman H. Acta Anaesthesiol. Scand 2003;47:664-666.