Semere Wagahta G, Edwards Teresa M, Boyd Douglas, Barsoumian Raffi, Murero Monica, Donias Harry W, Karamanoukian Hratch L
Division of Cardiothoracic Surgery and the Center for Less Invasive Cardiac Surgery and Robotic Heart Surgery, Kaleida Health at Buffalo General Hospital, NY, USA.
Heart Surg Forum. 2003;6(6):E111-9.
The primary goal of this study was to (1) determine patients' access to and use of the Internet for healthrelated information before and after endoscopic atraumatic coronary artery bypass (Endo-ACAB) surgery, (2) investigate patients' methods of searching for such information, and (3) suggest future improvements for Internet-based patient education. The secondary goal of this study was to determine (1) patients' health-related quality of life and (2) degree of satisfaction following the Endo-ACAB procedure.
A follow-up study was conducted of 50 consecutive patients who had undergone Endo-ACAB procedures at the Center for Less Invasive Cardiac Surgery and Robotic Heart Surgery in Buffalo, New York. Study surveys were designed cooperatively by a communication scientist specializing in Internet studies and cardiac surgeons. Patients completed surveys over a period of 18 months, from January 2001 to June 2002.
All 50 patients (100%) in the targeted study group completed the survey. Forty-four (88%) of these respondents reported having Internet access. The Web was cited as the most popular source of initial information on Endo-ACAB, with 36% of patients (18) first learning about the procedure through an Internet search. All 44 patients with Internet access used the Web as an additional source of information before surgery, but only 20% (7/35) did so after surgery. Most patients (91%, 40/44) felt that their surgeon should develop a Web site to detail the Endo-ACAB procedure. An investigation of patient quality of life showed that 96% of patients were not experiencing any symptoms related to t heir surgery. All 50 patients reported high degrees of satisfaction with the Endo-ACAB procedure, and 98% (49) said that they would recommend the surgery to someone else.
A vast majority of patients are realizing the benefits of the Internet as a tool to educate themselves, both before and after surgery. The request by an overwhelming majority of patients that surgeons develop Web sites, however, shows that patients may not be completely satisfied with the current form or content of health sites on the Internet. Surgeons will see the benefits of Web-based education only when they ensure that their patients have access to adequate and credible health-related information. The early results of robotic surgery suggest a promising future and the need to investigate the role of the Internet in its growth.
本研究的主要目标是：（1）确定患者在内镜无创冠状动脉搭桥术（Endo - ACAB）手术前后获取和使用互联网获取健康相关信息的情况；（2）调查患者搜索此类信息的方法；（3）为基于互联网的患者教育提出未来改进建议。本研究的次要目标是确定：（1）患者与健康相关的生活质量；（2）Endo - ACAB手术后的满意度。
对纽约州布法罗市微创心脏手术和机器人心脏手术中心连续接受Endo - ACAB手术的50名患者进行了一项随访研究。研究调查问卷由一位专门从事互联网研究的通信科学家和心脏外科医生合作设计。患者在2001年1月至2002年6月的18个月期间完成了调查。
目标研究组的所有50名患者（100%）完成了调查。其中44名（88%）受访者报告可以访问互联网。网络被认为是关于Endo - ACAB初始信息的最受欢迎来源，36%的患者（18名）最初是通过互联网搜索了解到该手术的。所有44名可以访问互联网的患者在手术前都将网络用作额外的信息来源，但术后只有20%（7/35）的患者这样做。大多数患者（91%，40/44）认为他们的外科医生应该创建一个网站来详细介绍Endo - ACAB手术。对患者生活质量的调查显示，96%的患者没有经历与手术相关的任何症状。所有50名患者对Endo - ACAB手术都表示高度满意，98%（49名）表示他们会向其他人推荐该手术。
绝大多数患者意识到互联网作为一种在手术前后自我教育工具的好处。然而，绝大多数患者要求外科医生创建网站，这表明患者可能对互联网上当前健康网站的形式或内容并不完全满意。只有当外科医生确保患者能够获取充分且可靠的健康相关信息时，他们才会看到基于网络教育的好处。机器人手术的早期结果显示出前景广阔，并且有必要研究互联网在其发展中的作用。
