Tanaka Masanobu, Takahashi Toshiaki, Yamamoto Hiroshi
Department of Orthopaedic Surgery, Kochi Medical School, Oko-cho, Nankoku, 783-8505, Japan.
J Orthop Sci. 2003;8(4):518-21. doi: 10.1007/s00776-003-0670-6.
To improve patient understanding, we evaluated prospectively the effect of patient-observed simultaneous surgeon-explained live video during knee arthroscopy. Patient satisfaction, understanding, and tolerance of the tenderness and pain were measured by a questionnaire completed immediately after the procedure. There were 72 patients (41 men, 31 women) with a mean age of 47 years; 76 joints were treated among them. All but one were comfortably able to watch the live video of the procedure, and 89% of the patients reported a good understanding of and satisfaction with the procedure. Moreover, if the patients ever had to have another arthroscopy, 66% answered that they "certainly" wanted a live video presentation, and 25% "somewhat" desired it. Live video-presented outpatient arthroscopic knee surgery could be considered a method for improving patient understanding of knee pathology.
为提高患者的理解度,我们前瞻性地评估了患者在膝关节镜检查过程中观看术者同步讲解的实时视频的效果。通过术后立即填写的问卷来测量患者的满意度、理解度以及对压痛和疼痛的耐受性。共有72例患者(41例男性,31例女性),平均年龄47岁;共治疗了76个关节。除1例患者外,其他患者均能舒适地观看手术实时视频,89%的患者表示对手术有良好的理解且感到满意。此外,如果患者今后还需要进行关节镜检查,66%的患者回答他们“肯定”希望有实时视频演示,25%的患者“有点”希望有。实时视频演示的门诊膝关节镜手术可被视为一种提高患者对膝关节病变理解度的方法。