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Updated: May 28, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Patients' need for information prior to colonic surgery
Lisbeth Sjöstedt1, Renee Hellström, Margareta Warrén Stomberg
1Sahlgrenska University Hospital, Anaesthesia Clinical/Östra Hospital, Gothenburg, Sweden.
Patients undergoing elective colon surgery need clear perioperative information to reduce anxiety and ensure safety. Healthcare professionals must provide comprehensive details about the care pathway and pain management, repeating information as needed.
Area of Science:
- Surgical Care
- Patient Communication
- Enhanced Recovery After Surgery (ERAS) protocols
Background:
- Effective perioperative communication is crucial for patient involvement and quality care in elective colon surgery.
- Enhanced Recovery After Surgery (ERAS) protocols emphasize accelerated care through comprehensive patient information.
Purpose of the Study:
- To explore nurses' and doctors' perceptions of patients' information needs prior to intraoperative care.
- To identify key informational requirements for patients undergoing elective colon surgery within an ERAS pathway.
Main Methods:
- Qualitative content analysis of data from focus groups with nurses (n=39) and individual interviews with anesthesiologists (n=10).
- Exploration of healthcare professionals' experiences regarding patient information needs before intraoperative procedures.
Main Results:
- Patients require information to alleviate anxiety, enhance feelings of safety, understand postoperative pain management, and navigate the care pathway.
- Healthcare professionals universally recognized a significant patient need for information, with no discernible differences based on specialty or experience.
- Information delivery should be multimodal and repeated throughout the perioperative period, addressing recurrent needs like diagnosis clarification.
Conclusions:
- Multiprofessional collaboration, clear communication, and a supportive attitude are essential for patient comfort and involvement.
- Repetitive and comprehensive perioperative information is vital for patients undergoing elective colon surgery.
- Addressing patients' information needs proactively contributes to a positive surgical experience and adherence to ERAS principles.
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