Faculty of Medicine and Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.
BMC Musculoskelet Disord. 2013 May 1;14:152. doi: 10.1186/1471-2474-14-152.
Although hip information literature is given to people following total hip replacement (THR) almost routinely, little evaluation has been conducted on it to date. Our aim was therefore to analyse and evaluate the literature provided to patients by occupational therapists concerning elective hip surgery in the UK.
This was a pragmatic, descriptive analysis of information leaflets routinely given to patients undergoing primary total hip replacement (THR). The literature was collected as part of a national survey of occupational therapy practice. In the absence of a suitable evaluation tool, the patient leaflets were compared using a checklist devised by the researchers. The three areas of interest were: accessibility including presentation of information, breadth of information covered and specific activities of daily living described.
111 information leaflets and booklets were examined. These ranged from hospital publications which were professionally printed to those produced by individual departments. There was a variation in the readability of the leaflets ranging from 13% to 83%; the mean was 45% (SD 15). There was also variation in the content ranging from those covering surgery and possible complications, to those including diet and hip exercises. The most commonly covered activity of daily living was advice on sitting (99; 89%); the least commonly covered was work (26; 23%). Only 3 (2.7%) booklets had involved patients in their production and only 22 (20%) signposted obtaining information in another language or in Braille.
There was a range of literature in terms of presentation and content given to people who had a total hip replacement (THR). Although some booklets and leaflets scored highly, some did not meet basic standards such as providing contact details for help, using good quality diagrams, suggesting further reading or involving patients in their design. These results highlight important and fundamental deficiencies in the literature routinely provided.
尽管全髋关节置换术（THR）后几乎都会常规为患者提供髋关节信息文献，但迄今为止，对其评估的研究很少。因此，我们的目的是分析和评估英国职业治疗师为择期髋关节手术患者提供的文献。
这是对常规提供给接受初次全髋关节置换术（THR）患者的信息传单进行的实用、描述性分析。文献是作为全国范围内职业治疗实践调查的一部分收集的。由于缺乏合适的评估工具，研究人员使用自己设计的检查表对患者传单进行了比较。三个关注领域包括：易获取性，包括信息呈现、涵盖信息的广度和描述的特定日常生活活动。
共检查了 111 份信息传单和小册子。这些传单范围从医院出版的专业印刷品到个别部门制作的产品。传单的可读性从 13%到 83%不等，平均值为 45%（标准差 15）。内容也有所不同，从涵盖手术和可能的并发症，到包括饮食和髋关节锻炼。最常涵盖的日常生活活动是有关坐姿的建议（99；89%）；最不常涵盖的是工作（26；23%）。只有 3 份（2.7%）小册子涉及患者参与制作，只有 22 份（20%）指示在另一种语言或盲文获取信息。
提供给接受全髋关节置换术（THR）的患者的文献在呈现和内容方面存在差异。尽管一些小册子和传单得分较高，但有些传单不符合基本标准，例如提供帮助的联系方式、使用高质量的图表、建议进一步阅读或让患者参与设计。这些结果突出了常规提供的文献中存在的重要且基本的缺陷。
