Department of Otolaryngology - Head and Neck Surgery, Royal Hospital for Sick Children, Glasgow G3 8SJ, Scotland, UK.
Scott Med J. 2012 Feb;57(1):4-7. doi: 10.1258/smj.2011.011184. Epub 2011 Dec 22.
The aim of this study was to assess the impact of the recommendations and interventions of the 2003 audit of 'readability and content of postoperative tonsillectomy instructions, given to patients in Scotland'. A two-cycle audit of readability and content of postoperative tonsillectomy instructions was undertaken. All National Health Service (NHS) hospital wards and associated Otolaryngology Departments in Scotland where tonsillectomies were being performed were contacted. Interventions following the first cycle included the mailing copies of original audit results and conclusions to all ear, nose and throat wards in Scotland, presentation at a National Meeting and publication of results in a peer reviewed journal. While changes had occurred in 61% of the information sheets, and with six of the 31 (19%) postoperative information sheets now being written at or below the recommended reading level, the average reading grade/age required to understand these information sheets still remains above those recommended by patient education experts. In conclusion, the majority of postoperative tonsillectomy information sheets in Scotland remain written at a level above those recommended by patient education experts. The interventions undertaken in this audit were of limited success. The ENT-UK Tonsillectomy Information sheets (2006) are written at reasonable reading levels, have good content levels and we continue to recommend these information sheets.
本研究旨在评估苏格兰“术后扁桃体切除术医嘱的可读性和内容”审核（2003 年）的建议和干预措施的影响。我们进行了两轮术后扁桃体切除术医嘱的可读性和内容审核。联系了苏格兰所有提供扁桃体切除术的国民保健服务（NHS）医院病房和相关耳鼻喉科部门。第一轮审核结束后，我们将原始审核结果和结论的副本邮寄给了苏格兰所有耳鼻喉科病房，在全国会议上进行了演讲，并在同行评审的期刊上发表了结果。虽然 61%的信息表中的信息发生了变化，且 31 份信息表中的 6 份（19%）的书写水平达到或低于推荐的阅读水平，但理解这些信息表所需的平均阅读年级/年龄仍然高于患者教育专家推荐的水平。总之，苏格兰大多数术后扁桃体切除术信息表的书写水平仍高于患者教育专家推荐的水平。本审核中采取的干预措施收效有限。英国耳鼻喉科协会的扁桃体切除术信息表（2006 年）的书写水平合理，内容水平良好，我们继续推荐这些信息表。
