Martin Luke A, Finlayson Samuel R G, Brooke Benjamin S
Department of Surgery, University of Utah School of Medicine, 30N. 1900 E., Suite #3C344, Salt Lake City, UT, 84132, USA.
World J Surg. 2017 Jun;41(6):1447-1453. doi: 10.1007/s00268-017-3884-z.
Transitions of care before and after surgery are critical for patient preparation. We sought to determine whether the degree of exposure to health information resources before and after surgery increases preparedness and decreases hospital readmission.
A national Web-based, cross-sectional survey was conducted of 1917 patients and caregivers who had a recent surgical encounter. Health information resources used before and after surgery were correlated with patient level of preparedness. We also evaluated the association between preparedness and hospital readmission.
Compared to unprepared patients, those who felt prepared were most likely to be given multiple health information resources before surgery (92 vs. 77%, p < 0.001) and before leaving the hospital (91 vs. 69%, p = 0.02). Feeling prepared was positively correlated with the number of resources provided to patients by their surgical team and used before surgery and before leaving the hospital (p < 0.05, both). 30-day readmission was significantly lower among patients who felt prepared either before (7% prepared vs. 22% not prepared, p = <0.001) or after surgery (9% prepared vs. 23% not prepared, p < 0.001).
Patients with access to more health information resources during transitions before and after surgery feel better prepared and have lower rates of 30-day readmission.
手术前后的护理过渡对患者的准备工作至关重要。我们试图确定手术前后接触健康信息资源的程度是否能提高患者的准备程度并降低医院再入院率。
对1917名近期接受手术的患者及其护理人员进行了一项基于网络的全国性横断面调查。将手术前后使用的健康信息资源与患者的准备程度相关联。我们还评估了准备程度与医院再入院之间的关联。
与未做好准备的患者相比，那些感觉做好准备的患者在手术前（92%对77%，p<0.001）和出院前（91%对69%，p=0.02）最有可能获得多种健康信息资源。感觉做好准备与手术团队提供给患者并在手术前和出院前使用的资源数量呈正相关（两者p<0.05）。在手术前（做好准备的患者为7%，未做好准备的患者为22%，p=<0.001）或手术后（做好准备的患者为9%，未做好准备的患者为23%，p<0.001）感觉做好准备的患者中，30天再入院率显著较低。
在手术前后的过渡期间能够获得更多健康信息资源的患者感觉准备更充分，30天再入院率较低。
