Hospital District of Satakunta.
Department of Urology, University of Tampere.
Int J Qual Health Care. 2020 Apr 21;32(1):35-40. doi: 10.1093/intqhc/mzz032.
To study surgical patients' informational expectations and the level of received knowledge at the time of hospital discharge. To examine if there is an association with postoperative complications and the patient´s level of received knowledge.
Comparative descriptive design.
The data on patients admitted for non-cardiac surgery were collected in three phases during an eight-month period.
258 in-ward non-cardiac general surgery and orthopedic surgery adult patients.
Questionnaires before admission (knowledge expectations) and at discharge (received knowledge). A telephone interview 30 days after discharge.
Received knowledge (as much or more / less) compared to expectations, and its association with post-discharge complications.
There were differences between patient groups in their perception of receiving enough knowledge and they were connected to gender (male vs. female OR 2.67, 95% CI 1.55-4.60, P = 0.0004) and procedure (elective orthopedic implant surgery vs. elective minor orthopedic and hand surgery: OR 3.25, 95% CI 1.72-6.17, P = 0.0003). Patients who received less knowledge than expected had more postoperative complications than those who received sufficient (as much or more than expected) information.
Patients differ in terms of informational needs, and preoperative education prepares the patient for the information provided postoperatively. Patient education may have an influence on recovery from surgery.
研究手术患者的信息期望以及出院时获得的知识水平。探讨术后并发症与患者获得的知识水平之间是否存在关联。
比较描述性设计。
在 8 个月的时间内分三个阶段收集非心脏手术住院患者的数据。
258 名非心脏普通外科和骨科成年住院患者。
入院前（知识期望）和出院时（获得的知识）的问卷调查。出院后 30 天进行电话访谈。
获得的知识（与期望相比，更多/更少），以及与出院后并发症的关系。
患者对获得足够知识的感知存在差异，且与性别（男性与女性，比值比 2.67，95%置信区间 1.55-4.60，P=0.0004）和手术类型（择期骨科植入手术与择期小型骨科和手部手术，比值比 3.25，95%置信区间 1.72-6.17，P=0.0003）有关。获得的知识少于预期的患者比获得足够（更多或与预期相符）信息的患者发生更多术后并发症。
患者在信息需求方面存在差异，术前教育使患者为术后提供的信息做好准备。患者教育可能对手术恢复有影响。
