Dayucos Amelia, French Laverne Andrea, Kelemen Arpad, Liang Yulan, Sik Lanyi Cecilia
Department of Organizational Systems and Adult Health, School of Nursing, University of Maryland, Baltimore, MD 21201, USA.
Department of Family and Community Health, School of Nursing, University of Maryland, Baltimore, MD 21201, USA.
Medicina (Kaunas). 2019 Jan 30;55(2):32. doi: 10.3390/medicina55020032.
The use of websites to provide patient education is becoming more common. The benefits of a properly executed and effective preoperative patient educational intervention have been shown to result in improved psychological and physical well-being for patients undergoing surgery. The purpose of this pilot study was to determine the usability, utility, and feasibility of a website we created to increase engagement and improve the quality of the preoperative education patients receive in preparation for hip and knee arthroplasty. Eighty patients who met the inclusion criteria were recruited, aged between 40 to 65, among those 52.5% were female, 71.25% were placed for knee replacement, 28.75% for hip replacement. Forty patients were randomly assigned to paper education cohort, 40 to the paper and website education cohort. However, only 19 from each cohort participated in the survey questionnaire. The outcome of interest included qualitative data for patient knowledge, satisfaction, utilities, and usability, which were assessed based on the Perceived Health Website Usability Questionnaire online survey. The paper-based survey contains ten questions using a 7-point Likert scale while the web-based survey contains fourteen questions using the same 7-point Likert scale. Descriptive statistics and independent samples -tests were used for comparative analysis of usual paper education and website education cohorts; whereby Microsoft Excel data analytics tool was used to compute the results. The Alpha level was set to 0.05 for the statistical results. The result of the study showed no statistically significant differences in both cohorts at the 0.05 level. We hypothesized that both information delivery methods were effective in increasing knowledge and engaging patients to their preoperative educations. According to the survey result for the nursing staff, they believed that the use of the website improved nursing workflow, efficiency, and patient education.
利用网站提供患者教育正变得越来越普遍。已证明，精心实施且有效的术前患者教育干预能改善接受手术患者的心理和身体健康状况。这项初步研究的目的是确定我们创建的一个网站的可用性、实用性和可行性，该网站旨在提高参与度并改善患者在准备髋关节和膝关节置换手术时接受的术前教育质量。招募了80名符合纳入标准的患者，年龄在40至65岁之间，其中52.5%为女性，71.25%接受膝关节置换，28.75%接受髋关节置换。40名患者被随机分配到纸质教育组，40名被分配到纸质和网站教育组。然而，每个组中只有19名参与了调查问卷。感兴趣的结果包括患者知识、满意度、实用性和可用性的定性数据，这些数据是基于在线感知健康网站可用性问卷进行评估的。纸质调查问卷包含10个使用7分李克特量表的问题，而基于网络的调查问卷包含14个使用相同7分李克特量表的问题。描述性统计和独立样本检验用于对常规纸质教育组和网站教育组进行比较分析；其中使用微软Excel数据分析工具来计算结果。统计结果的阿尔法水平设定为0.05。研究结果显示，在0.05水平上，两个组之间没有统计学上的显著差异。我们假设两种信息传递方式在增加知识和促使患者参与术前教育方面都是有效的。根据对护理人员的调查结果，他们认为网站的使用改善了护理工作流程、效率和患者教育。
