Boundouki George, Humphris Gerry, Field Anne
Faculty of Medicine, University of Liverpool, Liverpool, UK.
Patient Educ Couns. 2004 Apr;53(1):71-7. doi: 10.1016/S0738-3991(03)00118-6.
Study aim was to determine the influence of a patient information leaflet (PIL) on mouth cancer to improve knowledge, reduce distress and increase intention to accept a mouth screen over a 2-month period. The design was a randomised controlled trial. Two dental practices in the northwest of England participated. Standardised multi-item scales of the three outcome measures were employed. The PIL was given to a randomised intervention group of patients in waiting room. Single sheet questionnaire was completed by both groups of patients at baseline in waiting room (immediately following leaflet administration in intervention arm of study). Repeat questionnaire completion at 8 weeks by all patients through postal system. Mann-Whitney U-tests comparing outcome variables between patients with and without access to the leaflet at baseline and 8 weeks were performed. Multiple logistic regression was used to predict re-reading of the leaflet at home. Useable replies were received from 317 patients (60% response rate). All measures showed some benefit of immediate exposure to the leaflet at follow up. Older patients, less initial knowledge, and self-reported smoking positively predicted the re-reading of the leaflet. The introduction of a mouth cancer PIL into dental practice may help to inform patients about oral cancer, moderate distress and encourage acceptance of an oral health screen.
研究目的是确定一份口腔癌患者信息手册（PIL）在两个月时间内对提高知识水平、减轻痛苦以及增强接受口腔筛查意愿的影响。研究设计为随机对照试验。英国西北部的两家牙科诊所参与其中。采用了三种结局指标的标准化多项目量表。将该患者信息手册分发给候诊室中随机分组的干预组患者。两组患者在基线时（在研究的干预组发放手册后立即）于候诊室完成单页问卷。所有患者在8周时通过邮政系统再次完成问卷。进行了曼-惠特尼U检验，以比较基线时和8周时接触手册与未接触手册的患者之间的结局变量。使用多元逻辑回归来预测在家中再次阅读手册的情况。共收到317名患者的有效回复（回复率为60%）。所有指标均显示随访时立即接触手册有一定益处。年龄较大的患者、初始知识较少以及自我报告吸烟的患者更有可能再次阅读手册。在牙科诊所引入口腔癌患者信息手册可能有助于让患者了解口腔癌、减轻痛苦并鼓励接受口腔健康筛查。
