Do they do as they are instructed? A review of out-patient anaesthesia

Anaesthesia. 1978 Oct;33(9):832-5. doi: 10.1111/j.1365-2044.1978.tb08503.x.

Abstract

Sixty patients who underwent out-patient anaesthesia were assessed by interview the day following surgery to determine the extent to which they remembered and complied with instructions given preoperatively concerning their post-anaesthetic activities such as, drinking, driving, cooking and operating machinery. The first group of thirty patients received verbal instructions only, except for a written instruction not to drive after anaesthesia. The following group of thirty patients received clear, concise printed instructions in addition to their pre-operative verbal instructions. There was a significant improvement between the two groups of patients in the ability to remember their instructions from a range of 77--99% failure rate to 4--12.5% depending on the sphere of activity. However, a certain proportion of patients deliberately ignored the instructions in both groups. It would appear from this study that verbal pre-operative instructions were easily forgotten unless re-inforced with written directives. Patients from ethnic minorities may need printed instructions in their native language and the services of an interpreter.

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care*
  • Anesthesia, General*
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance*
  • Postoperative Period