University of Turku, Department of Nursing Science, Turku, Finland.
J Clin Nurs. 2010 Nov;19(21-22):2980-8. doi: 10.1111/j.1365-2702.2010.03347.x.
This study compared the pre-admission education received by two groups of rheumatoid arthritis (RA) patients scheduled for hip arthroplasty. The specific aim was to compare these patients' knowledge about care-related issues and sense of certainty about that knowledge, empowering learning experience, length of admission discussion, length of hospital stay and number of health problems.
Previous studies have shown that surgical pre-admission education is beneficial, but there is no evidence on the relative effectiveness of different methods of education.
We used a pre-post-test design with two groups of surgical RA patients (Group I pre-admission education via telephone and standard written educational material, n = 29; Group II standard written educational material, n = 30).
The data were collected with previously used instruments (OPKQ, MEQ), and demographic and clinical variables were asked.
The mean score for knowledge about care-related issues and sense of certainty about that knowledge for Group I and for Group II showed no statistically significant differences at baseline and at admission. At discharge, however, a significant difference was seen between the scores--in favour of Group II. On the other hand, patients in Group I were found to be more empowered in all areas than patients in Group II.
Written educational material seems to be a good choice for pre-admission patient education compared with telephone counselling, particularly when patients are knowledgeable about care-related issues before admission. However, education via telephone is experienced by patients as more empowering than written educational material.
To increase patient's knowledge written educational material can be recommended for use, but to increase patient's empowerment telephone education is better.
本研究比较了两组计划接受髋关节置换术的类风湿关节炎（RA）患者的入院前教育。具体目的是比较这些患者对护理相关问题的知识以及对这些知识的确定性、赋权学习体验、入院讨论时间、住院时间和健康问题数量。
先前的研究表明，手术前的入院教育是有益的，但没有关于不同教育方法相对有效性的证据。
我们使用了两组手术 RA 患者（组 I 通过电话和标准书面教育材料进行入院前教育，n = 29；组 II 标准书面教育材料，n = 30）的前后测试设计。
使用先前使用的仪器（OPKQ、MEQ）收集数据，并询问人口统计学和临床变量。
组 I 和组 II 的护理相关问题知识和对该知识确定性的平均得分在基线和入院时均无统计学差异。然而，在出院时，两组之间的得分存在显著差异，组 II 的得分更高。另一方面，与组 II 相比，组 I 的患者在所有领域都被认为更赋权。
与电话咨询相比，书面教育材料似乎是入院前患者教育的一个不错选择，尤其是在患者入院前对护理相关问题有一定了解的情况下。然而，与书面教育材料相比，电话教育更能增强患者的赋权感。
为了增加患者的知识，可以推荐使用书面教育材料，但为了增强患者的赋权感，电话教育更好。
