Views of Obstetric Patients Who Refuse Regional Anesthesia in Cesarean Section

剖腹產產婦拒絕半身麻醉的調查報告

陳應麟(Ying-Lun Chan) ； 黃家樂(Kar-Lok Wong) ； 林志福(Chih-Fu Lin) ； 饒瑞泓(Ruey-Horng Rau) ； 吳國驊(Kuo-Hwa Wu) ； 魏志濤(Tze-Taur Wei)

《Acta Anaesthesiologica Sinica》 36卷2期 (1998/06) Pp. 99-102

摘要

Background: Regional anesthesia for Cesarean section has gained widespread popularity. However, there are still a good few of obstetric patients who refuse it. This study was to investigate the reasons for refusing regional anesthesia in order to gain some insights into the attitudes and concerns of patients. Methods: Three hundred and twenty-four obstetric patients scheduled for Cesarean section were interviewed just before entering the operating room. They were asked to give one or two reasons for refusing regional anesthesia. Results: Two hundreds of them refused regional anesthesia. The most frequent reasons were apprehension of witnessing the operation (auditory or visional) (45.42%) and fear of backache following regional anesthesia (14.58%). Conclusions: Anesthesiologists should be aware of patients' feeling or concern and could be capable and willing to discuss with them the relevant problems.

關鍵字

Anesthesia, Obstetric: regional ； Delivery, Cesarean section

並列摘要

背景：半身麻醉廣泛地被應用於剖腹產，但是，仍然有很多產婦拒絕它，本研究的目的是探討她們拒絕的原因，從而瞭解她們的認知及心態。方法：共有324位剖腹產產婦於術前接受調查，並請她們說出拒絕半身麻醉的一個或兩個原因。結果：有200位產婦拒絕半身麻醉，最常見的原因是害怕聽見與看見（48.42%）和害怕背痛（14.58%）。結論：麻醉醫師要瞭解病人的心態及感受，並應將其納入在臨床麻醉工作上應注意及考慮的範疇。

並列關鍵字

麻醉，產科：區域 ； 生產，剖腹產