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首页> 外文期刊>The Annals of otology, rhinology, and laryngology >Neck Surgery with Hypnosis: An Evaluation Based Upon Patient's Self Assessment
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Neck Surgery with Hypnosis: An Evaluation Based Upon Patient's Self Assessment

机译：颈部手术与催眠：基于患者自我评估的评估

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Background: Surgery with hypnosis avoids the use of general anesthesia (GA). It also shortens hospitalization and promotes outpatient surgery. The objective of this study has been to assess the satisfaction of operated patients. No previous study has focused on patient satisfaction in a prospective design. Methods: In this prospective, non-randomized, observational study, all patients operated with hypnosis between 2009 and 2017 in the Ear, Nose, and Throat department of a tertiary care hospital were selected. All patients were asked to fill a questionnaire based on a previously validated questionnaire incremented with complementary questions. Questionnaires were completed immediately after surgery for 31 patients and after 6 months for 20 patients. Global Satisfaction Index (GSI) was self-assessed on a scale ranging from 1 to 10. Patients were asked; whether they felt comfortable during the operation, whether hypnosis helped them, whether the experience matched their expectations, whether they would revisit or recommend it to someone else and whether they considered to have been sufficiently informed before the procedure. The data was analyzed using a linear regression model with P < .05 considered as statistically significant. Results: During the inclusion period, no patient required conversion to GA. A total of 48 questionnaires were evaluated. The median of the GSI was 8/10. GSI significantly correlated with patient comfort (P < 0.0001) and quality of preoperative information (P = .002). The percentage of patients who found hypnosis helpful correlated with the duration of surgery (P = .04). The probability for a patient to consider hypnosis as an experience matching their expectation increased with surgical team experience OR 0.55 (0.3-0.9). Conclusion: This study reveals that patients' global satisfaction after hypnosis is high. This is significantly related to the quality of preoperative information and to the experience of the surgical team. It also suggests that patients are more likely to benefit from hypnosis if the surgery is longer.
机译：背景：催眠手术避免了使用全身麻醉（GA）。它还缩短了住院时间，促进了门诊手术。本研究的目的是评估手术患者的满意度。之前没有研究在前瞻性设计中关注患者满意度。方法：在这项前瞻性、非随机、观察性研究中，选择2009年至2017年间在一家三级医院耳鼻喉科接受催眠手术的所有患者。所有患者都被要求根据之前验证的问卷填写一份问卷，并添加补充问题。31名患者术后立即完成问卷调查，20名患者术后6个月完成问卷调查。全球满意度指数（GSI）采用1到10的量表进行自我评估。询问患者；他们在手术过程中是否感到舒适，催眠是否对他们有帮助，经历是否符合他们的预期，他们是否会再次访问或推荐给其他人，以及他们是否认为在手术前已充分了解情况。使用线性回归模型对数据进行分析，P<0.05被认为具有统计学意义。结果：在纳入期间，没有患者需要转换为GA。共评估了48份问卷。GSI的中位数为8/10。GSI与患者舒适度（P<0.0001）和术前信息质量（P=0.002）显著相关。发现催眠有益的患者百分比与手术时间相关（P=0.04）。一个病人考虑催眠作为一个经验匹配他们的期望的概率增加手术组的经验或0.55（0.3-0.9）。结论：本研究显示催眠后患者的整体满意度较高。这与术前信息的质量和手术团队的经验显著相关。它还表明，如果手术时间更长，患者更有可能从催眠中获益。

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