Wilkes Anna, Wills Vanessa, Smith Stephen
Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia.
ANZ J Surg. 2008 Oct;78(10):867-70. doi: 10.1111/j.1445-2197.2008.04682.x.
Splenectomy is associated with a lifelong increase in the risk of sepsis. The aim of this study was to determine the level of knowledge of patients who have undergone splenectomy within an Australian area health service.
Adults undergoing a splenectomy between 1994 and 2004 within the Hunter Area Health Service were invited to participate in the study. Consenting participants were contacted by telephone and a standardized questionnaire completed.
More than 50% of participants displayed a good active knowledge of the risk of infection post-splenectomy and an understanding of the role of vaccinations in reducing the risk of infection. Few participants (11.3%) had standby antibiotics readily available. Knowledge of travel precautions and risk of sepsis following animal bites was poor.
Although most participants displayed a good knowledge of infection risk post-splenectomy, deficiencies in knowledge were identified. We propose the development of a splenectomy protocol and patient briefing to improve patient education.
脾切除术后脓毒症风险会终生增加。本研究旨在确定澳大利亚某地区医疗服务机构内接受过脾切除术的患者的知识水平。
邀请1994年至2004年间在亨特地区医疗服务机构接受脾切除术的成年人参与研究。通过电话联系同意参与的参与者，并完成一份标准化问卷。
超过50%的参与者对脾切除术后感染风险有良好的主动认知，并且了解疫苗接种在降低感染风险中的作用。很少有参与者（11.3%）备有备用抗生素。对旅行预防措施以及动物咬伤后脓毒症风险的了解较差。
尽管大多数参与者对脾切除术后感染风险有较好的认知，但仍发现了知识方面的不足。我们建议制定脾切除术方案并向患者进行简要说明，以改善患者教育。
