The effects of preoperative, video-assisted anesthesia education in Spanish on Spanish-speaking patients' anxiety, knowledge, and satisfaction: a pilot study.
We studied the effect of an instructional video in Spanish on self-reported anxiety, knowledge about general anesthesia procedures, and satisfaction with the preoperative anesthesia process in patients requiring a Spanish interpreter. This prospective, randomized, nonblinded pilot study took place at Massachusetts General Hospital (MGH), a university-affiliated tertiary-care hospital. Twenty adult, ASA physical status 1, 2, and 3 patients, scheduled for elective surgery (gynecological, orthopedic, and intrabdominal surgery) during general anesthesia were studied. Anxiety, knowledge, and patient satisfaction were assessed using a visual analog scale (VAS). There was a significant reduction in anxiety score in patients who viewed the video compared with those who did not (median reduction 2 vs 0; P = 0.020). There was an increase in satisfaction score in the video group (median increase 2 vs 0; P = 0.046). There was no difference in reported knowledge-improvement scores between the two groups (3.5 vs 4; P = 0.908). In Spanish-speaking patients, the addition of an instructional video in Spanish to a preanesthesia interview decreased anxiety and increased patient satisfaction.
['West|Amy M|AM|', 'Bittner|Edward A|EA|', 'Ortiz|Vilma E|VE|']
D000328:Adult D000368:Aged D000768:Anesthesia, General D001007:Anxiety D017558:Elective Surgical Procedures D005260:Female D007722:Health Knowledge, Attitudes, Practice D006801:Humans D007802:Language D008297:Male D008875:Middle Aged D010353:Patient Education as Topic D017060:Patient Satisfaction D010865:Pilot Projects D011300:Preoperative Care D011446:Prospective Studies D014743:Videotape Recording
Spanish-speaking patients General anesthesia Limited English proficiency (LEP) Patient anxiety, preoperative Preoperative interview Video instruction