Activities in Promoting Informed Consent by Means of Anesthesia Contract and Anesthesia Illustrating Pamphlet.

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  • 麻酔に関する説明書(同意書)およびパンフレットを使用しての患者の麻酔理解を促進する試み

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Abstract

We prospectively investigated how satisfied patients were with anesthesiologists' preanesthesia rounds with a questionnaire. Three approaches were set up as follows: 1) anesthesiologists' preanesthesia rounds; 2) anesthesia contract; and 3) anesthesia illustrating pamphlet. There were no significant differences among 1), 2) and 3) concerning the patients' understanding of the anesthesia. In terms of patients' understanding the risk of anesthesia, the group 2) understood the risk (96.7%) more than the group without 2) (92.7%). The ratio of the group 2) (13.7%) who was anxious about anesthesia was more than that of the group without 2) (3.3%). Concerning the signing of the anesthesia contract, about 40% of patients were reluctant to sign. On the other hand, patients regarded 3) useful for understanding anesthesia and relieving stress. In conclusion, the combined use of 1), 2) and 3) was recommended for informed consent of preanesthesia rounds.

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