King N K, Cheeseman G A, Siriwardena A K
Department of Surgical and Clinical Sciences, Royal Infirmary of Edinburgh, UK.
Int J Clin Pract. 2004 Jun;58(6):559-63. doi: 10.1111/j.1368-5031.2004.00017.x.
This prospective study was carried out in three related phases. In phase I, the information needs perceived by a cohort of 49 patients undergoing urgent abdominal surgery were assessed postoperatively and areas of perceived deficiency identified. In phase II, information provided by consultant surgeons caring for these patients was assessed. This information was then integrated with material gained from insurance companies and governmental organisations on issues such as return to driving in order to generate procedure-specific information sheets for appendicectomy and urgent cholecystectomy. In phase III, these information sheets were validated by a separate cohort undergoing these procedures. Key findings from the patients' perspective were, first, there remains an unmet need for basic information about the impact of urgent abdominal surgery on daily activity. Second, there is a striking variation in the information provided by consultant surgeons. Third, procedure-specific information sheets fulfil an important role in satisfying the patients' information requirements.
这项前瞻性研究分三个相关阶段进行。在第一阶段，对49例接受急诊腹部手术的患者术后感知到的信息需求进行评估，并确定感知不足的领域。在第二阶段，评估负责照料这些患者的外科顾问医生提供的信息。然后将这些信息与从保险公司和政府组织获得的关于诸如恢复驾驶等问题的材料相结合，以生成阑尾切除术和急诊胆囊切除术的特定手术信息表。在第三阶段，由接受这些手术的另一组患者对这些信息表进行验证。从患者角度得出的主要发现是，首先，对于急诊腹部手术对日常活动影响的基本信息仍有未满足的需求。其次，外科顾问医生提供的信息存在显著差异。第三，特定手术信息表在满足患者信息需求方面发挥着重要作用。
