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Updated: Jun 23, 2025

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Postoperative Instruction Retention, Written Versus Audiovisual Adjuncts: A Prospective Randomized Study.

Chad A Amato1, Nathan W White1, Juan D Tio1

  • 1Department of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, PA.

Journal of Hand Surgery Global Online
|June 21, 2024
PubMed
Summary
This summary is machine-generated.

Adding audiovisual aids to written postoperative instructions improves patient recall, particularly for those receiving local anesthesia. This enhances adherence to care protocols and surgical outcomes.

Keywords:
Hand soft tissue proceduresInformation retentionPostoperative instructionSame day surgeryWALANT

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Area of Science:

  • Orthopedic Surgery
  • Patient Education
  • Surgical Outcomes

Background:

  • Postoperative protocol adherence is crucial for surgical outcomes.
  • Traditional written instructions may have limitations in patient retention.
  • Effective patient education is key to successful recovery.

Purpose of the Study:

  • To assess patient retention of postoperative instructions using traditional written formats.
  • To compare retention rates between written instructions and audiovisual adjuncts.
  • To determine if audiovisual adjuncts improve patient recall of postoperative care.

Main Methods:

  • A prospective randomized controlled trial involving 60 adult patients undergoing hand/wrist soft tissue procedures.
  • Patients received postoperative instructions via written format or audiovisual adjunct.
  • A blinded phone questionnaire assessed instruction retention 2 days post-surgery.

Main Results:

  • Fifty patients were analyzed; audiovisual group retention (85%) was higher than written group (80%).
  • Subgroup analysis showed significantly higher recall in the audiovisual group for patients under local anesthesia (87.5% vs 80.5%).
  • Demographic factors did not significantly impact retention scores.

Conclusions:

  • Audiovisual supplementation enhances postoperative instruction retention for soft tissue hand procedures.
  • The benefit is particularly pronounced in patients undergoing wide-awake local anesthesia procedures.
  • Improved patient understanding and adherence can positively impact surgical outcomes.