Johansson Stark Asa, Ingadottir Brynja, Salanterä Sanna, Sigurdardottir Arun, Valkeapää Kirsi, Bachrach-Lindström Margareta, Unosson Mitra
Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden; Landspitali University Hospital, Iceland.
Int J Nurs Stud. 2014 Nov;51(11):1491-9. doi: 10.1016/j.ijnurstu.2014.03.006. Epub 2014 Mar 30.
Patient education in connection with hip replacement is intended to prepare patients for surgery, discharge and postoperative recovery. Patients experience symptoms and emotions due to disease or upcoming surgery which can affect how their knowledge expectations are fulfilled.
To describe the differences between received and expected knowledge in patients undergoing elective hip replacement in three Nordic countries, and to analyse how these differences are related to patients' characteristics, preoperative symptoms and emotions.
A descriptive, prospective survey with two data collection points; before admission and at hospital discharge after surgery.
Two Finnish, three Icelandic and two Swedish hospitals.
The population consisted of patients on a waiting list for hip replacement. Of the consecutively included patients, 320 answered questionnaires both before admission and at discharge and were included in the study. The mean age of the patients was 64 years, and 55% were women.
Structured questionnaires were used; the knowledge expectations of hospital patients scale and self-reported scales for symptoms and emotions before admission and received knowledge of hospital patients scale at discharge. Fulfilment of knowledge expectation was assessed by calculating the difference between received and expected knowledge with a paired sample t-test. A multiple stepwise regression model was used to explain the variance of fulfilled knowledge expectations.
Patients expected more knowledge than they received (p<0.001) and 77% of them had unfulfilled knowledge expectations. Patients with a higher level of education were more likely to have unfulfilled knowledge expectations. A higher level of education was also related to a greater difference between received and expected knowledge. The difference was more correlated with patients' emotions than their symptoms. A depressive state was the major predictor of the variance in the difference between received and expected knowledge.
In order to better support patients by education it is necessary to assess their emotional state, educational level and knowledge expectations before surgery.
与髋关节置换相关的患者教育旨在帮助患者为手术、出院及术后康复做好准备。患者会因疾病或即将进行的手术而出现症状和情绪，这可能会影响他们的知识期望的实现情况。
描述三个北欧国家接受择期髋关节置换手术的患者所获得的知识与期望知识之间的差异，并分析这些差异与患者特征、术前症状及情绪之间的关系。
一项具有两个数据收集点的描述性前瞻性调查；入院前及术后出院时。
两家芬兰医院、三家冰岛医院和两家瑞典医院。
研究对象为髋关节置换手术等候名单上的患者。在连续纳入的患者中，有320名患者在入院前和出院时均回答了问卷，并被纳入研究。患者的平均年龄为64岁，55%为女性。
使用结构化问卷；入院前使用医院患者知识期望量表以及症状和情绪的自我报告量表，出院时使用医院患者获得知识量表。通过配对样本t检验计算获得的知识与期望知识之间的差异，以评估知识期望的实现情况。使用多元逐步回归模型解释知识期望实现情况的方差。
患者期望获得的知识比实际获得的更多（p<0.001），其中77%的患者知识期望未得到满足。教育水平较高的患者更有可能知识期望未得到满足。教育水平较高还与获得的知识与期望的知识之间的差异更大有关。这种差异与患者的情绪比与症状的相关性更强。抑郁状态是获得的知识与期望的知识之间差异方差的主要预测因素。
为了通过教育更好地支持患者，有必要在手术前评估他们的情绪状态、教育水平和知识期望。
