脊柱外科手术患者报告结果的可读性以及对健康素养的影响
Tariq Z Issa1,2, Yunsoo Lee1, Aditya S Mazmudar1
1Department of Orthopedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA.
Spine
|June 27, 2023
概括
大多数脊柱手术患者报告的结果指标 (PROM) 对于普通患者来说太难理解了. 这影响了调查的准确性和完成率,突出了对更容易获得的健康信息的需求.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 患者报告的结果措施 (PROMs)
- 卫生识字 卫生识字
背景情况:
- 在脊椎外科手术中,患者教育材料,出院说明书和知情同意表格都被评估了可读性.
- 在脊柱外科手术中,PROMs的可读性研究有限,尽管有很大的健康文盲.
- 了解PROM可读性至关重要,以确保脊柱手术患者能够理解这些措施.
研究的目的:
- 评估脊柱手术中常用的患者报告结果测量 (PROM) 的可读性.
- 为了确定PROM是否可供平均脊柱手术患者使用.
- 鉴定因PROM复杂性而导致准确数据收集的潜在障碍.
主要方法:
- 一项观察性研究分析了脊柱手术文献中的非视觉PROM.
- 使用弗莱什阅读易度得分 (FRES) 和Gobbledygook (SMOG) 指数的简单测量来评估可读性.
- 应用了美国医学会和疾病控制中心的可读性值,以及更严格的医疗保健推标准.
主要成果:
- 分析了七十七个PROM,揭示了平均Flesch阅读易度得分 (FRES),表明8年至9年级的阅读水平.
- 平均简单测量Gobbledygook (SMOG) 指数也表明了8年级的阅读水平.
- 超过63%的PROM写得高于美国一般的识字水平,只有8个符合更严格的可读性标准.
结论:
- 在脊椎外科手术中,大多数PROM超出了普通患者的阅读理解能力.
- 这种可读性差距可能会显著影响患者对PROM仪器的理解.
- 不准确的调查完成率和更高的不完成率可能是过于复杂的PROMs的结果.
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