在手术前教育的有效性
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
概括
多模式手术前教育可以改善外科手术的结果, 人与人接触的干预措施显著减少了住院时间,而书面和混合方法减少了止痛药的使用.
科学领域:
- 外科教育
- 基于证据的医学
- 医疗服务研究
背景情况:
- 多模式手术前教育干预提供了多种形式的患者准备.
- 评估各种手术前教育策略的有效性对于发展外科教育至关重要.
- 之前的研究表明,术前教育对术后结果有潜在的益处.
研究的目的:
- 对多模式手术前教育干预的随机对照试验 (RCT) 进行系统审查和元分析.
- 评估这些干预措施对一系列手术结果的影响.
- 通过网络元分析来比较不同干预模式的有效性.
主要方法:
- 来自MEDLINE,CENTRAL和EMBASE的RCT (2005-2025) 的系统审查和元分析.
- 纳入标准:有超过45名成年患者的RCT.
- 干预类别:人与人接触,书面,数字和混合. 分析包括对和网络元分析.
主要成果:
- 双重分析显示住院时间,止痛药的使用,疼痛,焦虑,生活质量,满意度和知识的改善.
- 网络元分析:与人接触的干预措施减少了逗留时间 (MD=-1.01天).
- 书面干预和混合干预减少了止痛药的使用 (SMD分别为- 0.82和- 0.61). 数字化干预改善了痛苦,满足和知识.
结论:
- 多模式手术前教育干预措施对各种手术结果产生积极影响.
- 人与人接触,书面和混合干预证明了停留时间和止痛药的特殊益处.
- 数字干预表明主观结果有希望, 需要进一步调查.
相关概念视频
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
170
01:26Kidney Transplant II: Surgical Procedure
74
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
74
01:23Peripheral Artery Disease V: Postoperative Nursing Management
24
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
24
01:21Inflammatory Bowel Disease V: Surgical Management
200
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
200
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
344
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
344