Waryasz Gregory R, Gil Joseph A, Chiou Daniel, Ramos Paul, Schiller Jonathan R, DaSilva Manuel F
Warren Alpert Medical School of Brown University, Providence, RI, USA.
Hand (N Y). 2017 Mar;12(2):175-180. doi: 10.1177/1558944716643291. Epub 2016 Jul 7.
Health literacy is the ability of a patient to understand their medical condition. The purpose of this investigation is to determine whether patients are able to obtain an elementary understanding of the fundamental principles of carpal tunnel release and the postoperative instructions after going through the process of informed consent and being provided an additional standardized postoperative instruction document. Our hypothesis is that patients will lack an understanding of these principles and, therefore, will be at risk for being noncompliant in their postoperative care. Fifty patients with a diagnosis of carpal tunnel surgery who elected to undergo carpal tunnel release alone were enrolled. A standardized education process was performed. Patients completed the questionnaire at their postoperative visit. The average percentage of correct answers was 75.8% (8.34 out of 11 correct). Fisher exact test analysis demonstrated that patients with a lower education level were less likely to know how long it takes for their preoperative symptoms to resolve ( = .0071), and they were less likely to correctly choose all of the important elements of postoperative care during the first week after surgery ( = .022). Although we made efforts to help patients achieve health literacy in carpal tunnel surgery, we found that patients continued to lack comprehension of pertinent components of carpal tunnel surgery, particularly understanding the involved anatomy.
健康素养是指患者理解自身病情的能力。本研究的目的是确定患者在经历知情同意过程并获得一份额外的标准化术后指导文件后，是否能够对腕管松解术的基本原理和术后指导有初步的理解。我们的假设是患者将缺乏对这些原理的理解，因此，他们在术后护理中存在不依从的风险。招募了50例仅选择接受腕管松解术的腕管综合征手术患者。实施了标准化的教育过程。患者在术后复诊时完成问卷。正确答案的平均百分比为75.8%（11题中答对8.34题）。费舍尔精确检验分析表明，教育水平较低的患者不太可能知道术前症状需要多长时间才能缓解（P = .0071），并且他们在术后第一周正确选择所有术后护理重要要素的可能性较小（P = .022）。尽管我们努力帮助患者在腕管手术中实现健康素养，但我们发现患者仍然缺乏对腕管手术相关组成部分的理解，尤其是对所涉及解剖结构的理解。
