Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island.
J Urol. 2013 Oct;190(4):1300-5. doi: 10.1016/j.juro.2013.04.074. Epub 2013 Apr 30.
We developed a patient based educational video to address the information needs of women considering sacral nerve stimulation for overactive bladder.
Five semistructured focus groups were used to identify patient knowledge gaps, information needs, patient acceptable terminology and video content preferences for a patient based sacral nerve stimulation educational video. Each session was transcribed, independently coded by 2 coders and examined using an iterative method. A 16-minute educational video was created to address previously identified knowledge gaps and information needs using patient footage, 3-dimensional animation and peer reviewed literature. We developed a questionnaire to evaluate participant sacral nerve stimulation knowledge and therapy attitudes. We then performed a randomized trial to assess the effect of the educational video vs the manufacturer video on patient knowledge and attitudes using our questionnaire.
We identified 10 patient important domains, including 1) anatomy, 2) expectations, 3) sacral nerve stimulation device efficacy, 4) surgical procedure, 5) surgical/device complications, 6) post-procedure recovery, 7) sacral nerve stimulation side effects, 8) postoperative restrictions, 9) device maintenance and 10) general sacral nerve stimulation information. A total of 40 women with overactive bladder were randomized to watch the educational (20) or manufacturer (20) video. Knowledge scores improved in each group but the educational video group had a greater score improvement (76.6 vs 24.2 points, p <0.0001). Women who watched the educational video reported more favorable attitudes and expectations about sacral nerve stimulation therapy.
Women with overactive bladder considering sacral nerve stimulation therapy have specific information needs. The video that we developed to address these needs was associated with improved short-term patient knowledge.
我们制作了一个基于患者的教育视频，以满足考虑骶神经刺激治疗膀胱过度活动症的女性的信息需求。
采用 5 个半结构式焦点小组来确定患者的知识空白、信息需求、患者可接受的术语以及基于患者的骶神经刺激教育视频的内容偏好。每次会议都进行了转录，由 2 名编码员独立进行编码，并使用迭代方法进行检查。创建了一个 16 分钟的教育视频，使用患者的镜头、3D 动画和经过同行评审的文献来解决之前确定的知识空白和信息需求。我们开发了一个问卷来评估参与者的骶神经刺激知识和治疗态度。然后，我们进行了一项随机试验，使用我们的问卷评估教育视频与制造商视频对患者知识和态度的影响。
我们确定了 10 个患者重要的领域，包括 1）解剖学，2）预期，3）骶神经刺激装置的疗效，4）手术过程，5）手术/装置并发症，6）术后恢复，7）骶神经刺激的副作用，8）术后限制，9）装置维护和 10）一般骶神经刺激信息。共有 40 名膀胱过度活动症患者被随机分配观看教育（20 名）或制造商（20 名）视频。每个组的知识评分都有所提高，但教育视频组的提高幅度更大（76.6 与 24.2 分，p<0.0001）。观看教育视频的女性对骶神经刺激治疗的态度和期望更为有利。
考虑骶神经刺激治疗的膀胱过度活动症患者有特定的信息需求。我们为满足这些需求而开发的视频与短期患者知识的提高有关。
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