O que o paciente sabe sobre o trabalho do anestesiologista?

Katia Ferreira de Oliveira; Jefferson Clivatti; Masashi Munechika; Luiz Fernando dos Reis Falcão

doi:10.1590/S0034-70942011000600004

Scientific Article

O que o paciente sabe sobre o trabalho do anestesiologista?

What do patients know about the work of anesthesiologists?

Katia Ferreira de Oliveira; Jefferson Clivatti; Masashi Munechika; Luiz Fernando dos Reis Falcão

http://dx.doi.org/10.1590/S0034-70942011000600004 Braz J Anesthesiol, vol.61, n6, p.724-727, 2011

PDF

Downloads: 0

Resumo

JUSTIFICATIVA E OBJETIVOS: Estudos internacionais modernos retratam a falta de conhecimento dos pacientes em relação à formação e ao papel do anestesiologista. Não existem dados atuais sobre esse tema que revelem o panorama nacional. O objetivo deste trabalho é avaliar o nível de conhecimento dos pacientes sobre a formação e as áreas de atuação desses especialistas. MÉTODO: Estudo prospectivo em hospital universitário terciário de São Paulo. Pacientes no pré-operatório foram entrevistados por um período de 18 meses. Os dados foram analisados com o uso do teste exato de Fisher, teste do qui-quadrado e teste de Mann-Whitney, conforme o tipo de variável estudada. Foi considerado, para todo o estudo, risco α< 0,05 de se cometer erro tipo I. RESULTADOS: Foram incluídos 400 pacientes no estudo, sendo 203 (50,75%) homens e 197 (49,25%) mulheres entre 18 e 89 anos. Um total de 207 (51,75%) pacientes reconheceu o anestesiologista como médico. Duzentos e oitenta e nove (72,25%) entrevistados responderam que o anestesiologista cuida do paciente durante a cirurgia, enquanto 256 (64%) pacientes não sabiam que o anestesiologista determina se o paciente está apto a ser submetido à cirurgia. Houve correlação estatística entre o nível de escolaridade e a presença de experiência prévia de procedimentos anestésico-cirúrgicos com a resposta correta em relação à formação médica do anestesiologista. Não houve diferença significativa entre os grupos - submetido e não submetido - à avaliação pré-anestésica em relação ao conhecimento da formação médica do anestesiologista. CONCLUSÕES: Uma grande proporção dos pacientes tem conhecimento limitado sobre a formação e as atribuições do anestesiologista. A avaliação pré-anestésica não aumentou a proporção de respostas de que o anestesiologista tem formação médica.

Palavras-chave

ANESTESIOLOGIA, ANESTESIOLOGIA, ANESTESIOLOGISTA

Abstract

BACKGROUND AND OBJECTIVES: Modern international studies portray the lack of knowledge of patients regarding the education and role of anesthesiologists. There are no current data on this subject in the national scenario. The objective of this study was to assess the level of knowledge of patients about the education and areas of performance of these specialists. METHODS: This is a prospective study undertaken at a tertiary university hospital in São Paulo. During an 18-month period preoperative patients were interviewed. The data were analyzed by the Fisher's exact test, Chi-square test, and Mann-Whitney test according to the variable investigated. In the study, an α risk < 0.05 of making a type I error was considered. RESULTS: Four hundred patients, 203 (50.75%) males and 197 (49.25%) females, aged between 18 and 89 years were included in this study. A total of 207 patients (51.75%) recognized anesthesiologists as physicians. Two hundred and eighty-nine (72.25%) patients answered that anesthesiologists care for patients during surgeries, while 256 (64%) did not know that anesthesiologists determine whether patients are fit to undergo surgery. A statistical correlation was observed between the level of schooling and the presence of prior experience with anesthetic-surgical procedures and the correct response to the medical education of anesthesiologists. A significant difference was not observed between the group of patients who underwent pre-anesthetic evaluation and those that did not undergo the evaluation regarding the knowledge of the medical education of anesthesiologists. CONCLUSIONS: A large proportion of patients have a limited knowledge about the education and role of anesthesiologists. Pre-anesthetic evaluation did not increase the proportion of answers that anesthesiologists have medical education.

Keywords

Anesthesiology, Knowledge

References

Hariharan S, Merritt-Charles L, Chen D. Patient perception of the role of anesthesiologists: a perspective from the Caribbean. J Clin Anesth. 2006;18:504-509.

Calman LM, Mihalache A, Evron S. Current understanding of the patient's attitude toward the anesthetist's role and practice in Israel: effect of the patient's experience. J Clin Anesth. 2003;15:451-454.

Klafta JM, Roizen MF. Current understanding of patients' attitudes toward and preparation for anesthesia: a review. Anesth Analg. 1996;83:1314-1321.

Hume MA, Kennedy B, Asbury AJ. Patient knowledge of anaesthesia and peri-operative care. Anaesthesia. 1994;49:715-718.

Lopes CA, Machado PRA, Castiglia YMM. O que pensa o paciente sobre o binômio anestesiologista-anestesia. Rev Bras Anestesiol. 1993;43(5):335-340.

Zvara DA, Nelson JM, Brooker RF. The importance of the postoperative anesthetic visit: do repeated visits improve patient satisfaction or physician recognition?. Anesth Analg. 1996;83:793-797.

Shevde K, Panagopoulos G. A Survey of 800 patients' knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg. 1991;73:190-198.

Swinhoe CF, Groves ER. Patients' knowledge of anesthetic practice and the role of anesthetists. Anesthesia. 1994;49:165-166.

Keep PJ, Jerkins JR. As others see us: the patients' view of the anaesthetist. Anaesthesia. 1978;33:43-45.

Burrow BJ. The patient's view of anaesthesia in an Australian teaching hospital. Anaesth Intensive Care. 1982;10:20-24.

Dodds , Harding MI, More DG. Anaesthesia in an Australian private hospital: the consumer's view. Anaesth Intensive Care. 1985;13:325-329.

van Wijk MGF, Smalhout B. A postoperative analysis of the patient's view of anaesthesia in a Netherlands' teaching hospital. Anaesthesia. 1990;45:679-682.

Pleuvry BJ, Bradshaw EG. The anaesthetist in the eyes of the public. Anaesthesia. 1982;37:462-463.

O que o paciente sabe sobre o trabalho do anestesiologista?

What do patients know about the work of anesthesiologists?

Katia Ferreira de Oliveira; Jefferson Clivatti; Masashi Munechika; Luiz Fernando dos Reis Falcão

Resumo

Palavras-chave

Abstract

Keywords

References

Links

Share

Braz J Anesthesiol