术后指令保留,书面与视听辅助:一个前性随机研究
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
概括
将视听辅助工具添加到书面的术后说明书中可以改善患者的回忆力,特别是在接受局部麻醉的人身上. 这提高了对护理方案和手术结果的坚持.
科学领域:
- 整形外科手术 整形外科手术
- 患者教育 患者教育
- 外科手术的结果
背景情况:
- 术后协议的遵守对于手术结果至关重要.
- 传统的书面指令可能在留住病人方面存在局限性.
- 有效的患者教育是成功康复的关键.
研究的目的:
- 用传统的书面格式评估患者保留术后指令的情况.
- 为了比较书面指令和视听辅助的保留率.
- 确定视听辅助是否可以改善患者对术后护理的回忆.
主要方法:
- 一项前性随机对照试验,涉及60名成年患者接受手/手腕软组织手术.
- 患者通过书面形式或视听辅助获得了术后指令.
- 一个盲目电话问卷评估了手术后2天的指令保留.
主要成果:
- 分析了50名患者;视听组的保留率 (85%) 比书面组 (80%) 高.
- 亚组分析显示,在局部麻醉的患者中,视听组的回忆显著更高 (87.5% vs 80.5%).
- 人口因素没有显著影响保留得分.
结论:
- 视听补充可以提高手术后软组织手术指令的记忆力.
- 这种益处在接受完全清醒局部麻醉手术的患者中尤为明显.
- 改善患者的理解和坚持可以积极影响外科手术的结果.
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