Hawkins Spencer D, Koch Sarah B, Williford Phillip M, Feldman Steven R, Pearce Daniel J
Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Transitional Year Program, Grand Strand Medical Center, Myrtle Beach, South Carolina.
Dermatol Surg. 2018 Jul;44(7):924-932. doi: 10.1097/DSS.0000000000001489.
Consent and wound care (WC) videos are used for education in Mohs micrographic surgery (MMS). Postoperative text messaging is poorly studied.
Develop and evaluate perioperative resources for MMS patients-video modules (DermPatientEd.com) and postoperative text messaging (DermTexts.com).
A study was conducted on 90 MMS patients. Patients were randomized 1:1:1:1 to videos with text messages, videos-only, text messages-only, or control. Primary outcomes included preoperative anxiety and knowledge of MMS and postoperative care. The secondary outcome included helpfulness/preference of interventions.
Patients experienced a 19% reduction in anxiety as measured by a visual analog scale after the MMS video (p = .00062). There was no difference in knowledge after the WC video (p = .21498). Patients were more likely to report the WC video "very helpful" when compared with the pamphlet in understanding postoperative WC (p = .0016). Patients in text messaging groups were not more likely to report the service as "very helpful" when compared with the pamphlet (p = .3566), but preferred to receive WC instructions by text message for future visits (p = .0001).
These resources proved helpful and effective in reducing preoperative anxiety. Patients prefer text message-based WC instructions over pamphlets after experiencing the service, but do not find them more helpful.
在莫氏显微外科手术（MMS）中，同意书和伤口护理（WC）视频用于教育。术后短信的研究较少。
为MMS患者开发并评估围手术期资源——视频模块（DermPatientEd.com）和术后短信（DermTexts.com）。
对90例MMS患者进行了一项研究。患者按1:1:1:1随机分为视频加短信组、仅视频组、仅短信组或对照组。主要结局包括术前焦虑以及对MMS和术后护理的了解。次要结局包括干预措施的有用性/偏好性。
通过视觉模拟量表测量，MMS视频后患者焦虑降低了19%（p = .00062）。WC视频后知识水平无差异（p = .21498）。与宣传册相比，患者更有可能报告WC视频在理解术后WC方面“非常有帮助”（p = .0016）。与宣传册相比，短信组患者不太可能报告该服务“非常有帮助”（p = .3566），但更愿意在未来就诊时通过短信接收WC指导（p = .0001）。
这些资源在减轻术前焦虑方面被证明是有帮助且有效的。患者在体验该服务后更喜欢基于短信的WC指导而非宣传册，但并不觉得它们更有帮助。
