Department of Epidemiology and Public Health, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
World J Surg. 2011 Jun;35(6):1202-11; discussion 1212-3. doi: 10.1007/s00268-011-1054-2.
A previous study suggested that most surgical patients do not remember having received information about surgical site infection (SSI). In other fields, written information has been suggested to improve patient satisfaction and recollection of information. Our objective was to assess if providing patients with written information about SSI, in addition to oral information, could influence patient satisfaction, recall of information, and opinion regarding SSI.
A total of 207 patients scheduled for digestive surgery at a university hospital were randomized between usual oral information about SSI, plus an information leaflet about SSI (group O/L), or usual oral information alone (group O). Patients were interviewed 5 weeks after surgery to assess their recall and satisfaction regarding information, opinion regarding SSI, and declared intention of seeking legal action in case of SSI. Surgeons and interviewer were blinded to patients' group allocation. Recruitment occurred between October 2005 and August 2006.
Of the original 207 patients, 161 patients (O/L=87, O=74) underwent operation and were interviewed as scheduled. Satisfaction was higher in group O/L (67% vs. O: 43%; P=0.003). The recall of having received information (O/L: 39% vs. O: 31%; P=0.29), was similar between the two groups. Judging SSI as always preventable was more frequent in group O/L (28% vs. O: 9%; P=0.004) with a trend toward a more frequent intention of seeking legal action (O/L: 10% vs. O: 3%; P=0.055).
The leaflet did not improve patient recall of information about SSI, but it was associated with an increased level of satisfaction. The association between the leaflet and judging SSI as always preventable was unexpected.
先前的一项研究表明，大多数手术患者不记得曾收到过有关手术部位感染（SSI）的信息。在其他领域，书面信息已被证明可以提高患者满意度和对信息的回忆。我们的目的是评估在提供口头 SSI 信息的基础上，额外向患者提供有关 SSI 的书面信息，是否会影响患者的满意度、对信息的回忆以及对 SSI 的看法。
共有 207 名在一所大学医院接受消化手术的患者被随机分为两组，一组在接受常规口头 SSI 信息的基础上，额外提供一份有关 SSI 的传单（O/L 组），另一组仅接受常规口头信息（O 组）。术后 5 周对患者进行访谈，评估他们对信息的回忆和满意度、对 SSI 的看法以及在发生 SSI 时寻求法律诉讼的意愿。外科医生和访谈者对患者的分组情况不知情。招募工作于 2005 年 10 月至 2006 年 8 月进行。
在最初的 207 名患者中，有 161 名患者（O/L=87，O=74）接受了手术并按计划进行了访谈。O/L 组的满意度更高（67% vs. O：43%；P=0.003）。两组患者对收到信息的回忆（O/L：39% vs. O：31%；P=0.29）相似。O/L 组中更多的患者认为 SSI 总是可以预防（28% vs. O：9%；P=0.004），且更倾向于寻求法律诉讼（O/L：10% vs. O：3%；P=0.055）。
该传单并未提高患者对 SSI 信息的回忆，但与满意度的提高有关。传单与将 SSI 视为始终可预防之间的关联出乎意料。
