在血管外科手术中进行手术前的患者教育
Isabel C Cohen1, Samantha Watson1, Patrick Sweeney2
1Department of Surgery, Feinberg School of Medicine, Northwestern University, 676 North St. Clair Street, Suite 650, Chicago, IL 60611, United States.
Health education research
|September 8, 2025
概括
手术前的患者教育显著提高了患者对血管外科手术程序的知识. 量身定制的教育干预措施提高了解和解决血管疾病患者的知识差距.
科学领域:
- 血管外科 血管外科
- 医学教育 医学教育
- 患者知识评估评估
背景情况:
- 手术前的患者教育对于在血管外科手术中获得知情同意和患者准备至关重要.
- 现有的文献缺乏对各种教育干预措施对该领域患者知识的影响的全面综合.
研究的目的:
- 系统地审查和元分析手术前患者教育干预措施对血管外科患者知识的有效性.
- 确定特定类型的干预和程序,使患者的理解得到最大的改善.
主要方法:
- 通过对Embase,PubMed和Ovid数据库进行搜索,进行了系统性审查和元分析.
- 包括专注于血管外科手术程序的研究,以患者知识作为结果衡量标准.
- 标准化平均差异 (SMD) 使用干预前和干预后的知识分数计算,并对腹腔大动脉瘤 (AAA) 修复和决策辅助器进行亚组分析.
主要成果:
- 六项研究 (654名患者) 符合纳入标准,包括随机对照试验和前性队列研究.
- 聚合的SMD为0.64 (95% CI,0.48-0.79),表明教育干预措施对患者知识有显著的积极影响.
- 对AAA修复 (SMD=0.58) 和决策辅助工具 (SMD=0.62) 的子组分析也显示出显著的积极影响.
结论:
- 手术前的患者教育有效地提高了患者对血管外科手术程序的知识.
- 建议制定程序特定和以患者为导向的教育干预措施,以有效解决血管疾病患者的知识缺陷.
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