Cardiothoracic Surgery Unit, Royal North Shore Hospital, Sydney, Australia; Conjoint Lecturer University of New South Wales, Sydney, Australia.
Cardiothoracic Surgery Unit, Royal North Shore Hospital, Sydney, Australia.
Patient Educ Couns. 2018 Dec;101(12):2047-2053. doi: 10.1016/j.pec.2018.06.008. Epub 2018 Jun 18.
To investigate the effect of enhancing preoperative education in improving recall and understanding of a surgical procedure and its application to the informed consent process in cardiac surgery.
Four electronic database searches were performed from January 2000 to August 2017. A total of 282 articles were identified from which 22 prospective studies assessing an intervention were selected according to predefined selection criteria.
Most articles that used additional written information and all that used multimedia presentations to enhance informed consent showed that their intervention improved risk recall and patient's understanding of the procedure. A single randomised controlled trial in cardiac surgery showed that audiotaped consultations improved patient's knowledge of the operation.
Patient recall and understanding of pre-operative information can significantly improve with a variety of educational tools. Procedure-specific forms with or without illustrations as well as interactive multimedia interventions enhance patient recall and understanding of information. In cardiac surgery patients, interventions need to meet patients' preferences, be repetitive on crucial points and consider the nature of the procedure.
研究强化术前教育对提高对手术过程的记忆和理解的效果，并将其应用于心脏手术中的知情同意过程。
从 2000 年 1 月至 2017 年 8 月进行了四次电子数据库检索。根据预先确定的选择标准，从总共 282 篇文章中选择了 22 项评估干预措施的前瞻性研究。
大多数使用附加书面信息的文章和所有使用多媒体演示的文章都表明，他们的干预措施改善了风险记忆和患者对手术过程的理解。一项针对心脏手术的随机对照试验表明，录音咨询可提高患者对手术的了解。
患者对术前信息的记忆和理解可以通过各种教育工具显著提高。具有或不具有插图的特定于手术过程的表格以及交互式多媒体干预措施可增强患者对信息的记忆和理解。在心脏手术患者中，干预措施需要满足患者的偏好，在关键要点上重复进行，并考虑手术的性质。
