术前教育对脊柱手术患者的影响。
Effects of preoperative education on spinal surgery patients.
作者信息
Papanastassiou Ioannis, Anderson Roberta, Barber Nicole, Conover Cathleen, Castellvi Antonio E
机构信息
Florida Orthopaedic Institute, Tampa, FL.
University Community Hospital, Carrollwood, Tampa, FL.
出版信息
SAS J. 2011 Dec 1;5(4):120-4. doi: 10.1016/j.esas.2011.06.003. eCollection 2011.
BACKGROUND
Preoperative patient education (PE) has been used by many institutions to deal with patient anxiety, pain control, and overall satisfaction. Although the literature suggests PE's effectiveness in joint reconstruction, data are missing in spinal surgery.
METHODS
We retrospectively analyzed patients having elective spinal surgery who underwent PE (spine pre-care class) from October 2009 to March 2010. Of the 155 patients surveyed, 77 (49.7%) attended the class whereas 78 (50.3%) did not.
RESULTS
Of the participants in the pre-care class, 96% were satisfied with their pain management versus 83% in the control group (P =.02). There was also a trend for better overall satisfaction in the pre-care class group (91% vs 85%; P > .05, multiple regression analysis). Elderly women tend to be less satisfied with pain management and overall treatment.
CONCLUSIONS
Implementation of PE has had a positive impact on patient satisfaction, especially in terms of pain management.
背景
许多机构采用术前患者教育（PE）来应对患者焦虑、疼痛控制和总体满意度问题。尽管文献表明PE在关节重建方面有效，但脊柱手术方面的数据尚缺。
方法
我们回顾性分析了2009年10月至2010年3月期间接受PE（脊柱术前护理课程）的择期脊柱手术患者。在155名接受调查的患者中，77名（49.7%）参加了课程，而78名（50.3%）未参加。
结果
在术前护理课程参与者中，96%对其疼痛管理感到满意，而对照组为83%（P = 0.02）。术前护理课程组在总体满意度方面也有更好的趋势（91%对85%；P > 0.05，多元回归分析）。老年女性往往对疼痛管理和总体治疗不太满意。
结论
实施PE对患者满意度产生了积极影响，尤其是在疼痛管理方面。
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