手術 前 の 教育 の 効果
Anne E Hall1, Amanda T Perrotta1, Alexander A Argame2
1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California Los Angeles, David Geffen School of Medicine and the Greater Los Angeles VA Healthcare System, Los Angeles, CA.
Journal of the American College of Surgeons
|September 4, 2025
まとめ
多様性手術前教育は 病院での滞在や痛みなどの 外科的結果を改善します 人との接触による介入は 病院での滞在を大幅に短縮し 文字による介入やハイブリッドによる介入は 鎮痛剤の使用を減少させます
科学分野:
- 外科 教育
- 証拠 に 基づく 医学
- 医療サービス研究
背景:
- マルチモダルの手術前教育介入は 患者の準備のための様々な形式を提供します
- 手術前教育戦略の有効性を評価することは 手術教育の発展において極めて重要です
- 以前の研究では 術前の教育が術後の結果に 与える可能性が示唆されています
研究 の 目的:
- マルチモダルの手術前教育介入に関するランダム化対照試験 (RCT) を体系的にレビューし,メタ分析する.
- これらの介入が手術の結果に与える影響を評価する.
- ネットワークメタアナリシスを用いて様々な介入の有効性を比較する.
主な方法:
- MEDLINE,CENTRAL,EMBASEからのRCT (2005-2025) の体系的なレビューとメタ分析
- 含有基準: 成人の患者数>45人のRCT
- 介入カテゴリー:人との接触,書面,デジタル,ハイブリッド 分析には,ペアワイドとネットワークメタ解析が含まれていた.
主要な成果:
- ペアワイドメタ解析では,滞在期間,鎮痛薬の使用,痛み,不安,生活の質,満足度,知識の改善が示されました.
- ネットワークメタ解析:人との接触による介入により滞在期間が短縮された (MD=-1.01日).
- 書面による介入とハイブリッドによる介入は,鎮痛薬の使用を減少させた (SMD=−0.82と−0.61). デジタル介入によって 痛みや満足感や知識が向上しました
結論:
- マルチモダルの手術前教育介入は様々な手術結果に ポジティブな影響を及ぼします
- 人との接触,書面,ハイブリッドの介入は,滞在期間と鎮痛剤の使用に特定の利点を示しています.
- デジタル介入は主観的な結果が期待され,さらなる調査を正当化しています.
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