Facca S, Sauleau E, Robert E, Gouzou S, Clavert P, Liverneaux P
Service de chirurgie de la main, centre de chirurgie orthopédique et de la main, hôpitaux universitaires de Strasbourg, 10, avenue Achille-Baumann, 67400 Illkirch, France.
Groupe méthode en recherche clinique, Hôpital Civil, 1, place de l'Hôpital, 67091 Strasbourg, France.
Chir Main. 2014 Feb;33(1):38-43. doi: 10.1016/j.main.2013.12.002. Epub 2014 Jan 9.
Before surgery for carpal tunnel syndrome, oral patient information is partially understood and accepted. The objective of this study was to perform a documentation for patients, as recommended by the High Authority in Healthcare (HAS), then to compare the effectiveness of oral information. Our series included 37 patients who received the same information: preoperative shower, pathophysiology, and postoperative instructions. The first 18 (group 1) received only oral information. The following 19 (group 2) received oral, written and visual information. The information in Group 2 followed the methodology of McClune: promoter (Department of Hand Surgery), organizing committee (two teachers from the School of Decorative Arts, two teachers of the School of Medicine), group work (five art students, five medical students), panel of experts (three surgeons, two occupational therapists, one physiotherapist). Four documents were developed: a booklet, a diagram, an animation, a poster. Satisfaction was higher in group 2. Understanding and memorization were better in group 2. Fifty-six percent of patients in group 1 would have liked a paper, 12.5% videos, none went on the Internet. Twelve and a half percent of the patients in group 2 went on the Internet, 18.8% would have liked videos. Our results show that in terms of carpal tunnel syndrome, the written and visual information materials for patients significantly improve the efficacy of oral information. These documents may be extended to other pathologies in Hand Surgery.
在进行腕管综合征手术前,患者对口头提供的信息仅部分理解和接受。本研究的目的是按照医疗保健高级管理局(HAS)的建议为患者提供书面资料,然后比较口头信息的效果。我们的研究系列包括37名接受相同信息的患者:术前沐浴、病理生理学和术后注意事项。前18名患者(第1组)仅接受口头信息。随后的19名患者(第2组)接受了口头、书面和视觉信息。第2组的信息采用了麦克卢恩的方法:发起者(手外科)、组织委员会(两名装饰艺术学院教师、两名医学院教师)、小组工作(五名艺术专业学生、五名医学专业学生)、专家小组(三名外科医生、两名职业治疗师、一名物理治疗师)。制作了四份资料:一本小册子、一张图表、一段动画、一张海报。第2组的满意度更高。第2组的理解和记忆情况更好。第1组中有56%的患者希望获得纸质资料,12.5%的患者希望获得视频资料,没有人会去上网查询。第2组中有12.5%的患者会上网查询,18.8%的患者希望获得视频资料。我们的结果表明,就腕管综合征而言,为患者提供的书面和视觉信息资料显著提高了口头信息的效果。这些资料可推广到手外科的其他病症。