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Every Second Patient Does Not Fully Understand Written Preprocedure Information: An Explorative Study About

Emelie Janmyr1, Benjamin Grossmann2, Andreas Nilsson1

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Patients with low functional health literacy (FHL) experienced more perioperative anxiety and pain after endoscopic procedures. Improving FHL is crucial for patient well-being and requires better information delivery methods.

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Area of Science:

  • Medical Education
  • Patient Experience
  • Health Literacy Research

Background:

  • Functional health literacy (FHL) is crucial for patient understanding and outcomes.
  • Advanced endoscopic procedures require clear patient communication.

Purpose of the Study:

  • To assess self-perceived FHL in patients undergoing advanced endoscopic treatment.
  • To examine the relationship between FHL and perioperative experiences.
  • To determine patient engagement with provided information.

Main Methods:

  • Prospective, cross-sectional, explorative study design.
  • 100 patients undergoing endoscopic bile duct intervention completed the Swedish FHL Scale.
  • Analysis of perioperative experiences and procedural data based on FHL levels (high vs. low).

Main Results:

  • 50% of patients reported low or inadequate FHL.
  • A majority of patients with low FHL did not read pre-procedure information.
  • Low FHL correlated with increased perioperative anxiety and pain.

Conclusions:

  • Low FHL is associated with poorer patient well-being, supporting prior research.
  • Healthcare providers, including nurse anesthetists, must understand FHL's impact.
  • Alternative, effective methods for patient information delivery are essential.