Enders Christian, Ryszka Joanna, Lang Gabriele E, Strametz Reinhard, Lang Gerhard K, Werner Jens Ulrich
Klinik für Augenheilkunde, Universitätsklinikum Ulm, Ulm.
Wiesbaden Business School, Hochschule RheinMain, Wiesbaden.
Klin Monbl Augenheilkd. 2020 Mar;237(3):304-309. doi: 10.1055/a-0867-9946. Epub 2019 Jul 30.
The patient's knowledge about their illness, as well as their expectations regarding pre-intervention, consultation and treatment, may differ from the physician's assumptions. Therefore, it is of great importance that the physician can identify misconceptions and missing knowledge and to focus on those points in the preoperative consultation, as well as meeting patient expectations as to the consultation itself. The aim of this study was to identify such expectations and the knowledge gaps of patients scheduled for ophthalmologic treatment.
An anonymous questionnaire containing predominantly closed questions was handed out to 100 patients in an ophthalmological outpatient clinic of a tertiary care center. Answers were mostly single choice items on a rating scale.
55% of patients had received ophthalmological interventions prior to receiving the questionnaire; 36% received more than two. More than half had not informed themselves about the planned procedure prior to their appointment. They were worried the most about complications (59%) and least about the anaesthesia (29%). When asked, patients attributed the highest priority to provision of information regarding complications and most often requested information on implications of the planned surgery on daily activities.
Roughly half of the patients came without having informed themselves prior to the consultation. A comprehensive explanation with regard to success rates and possible post-surgical impairments appears to be essential. Possibilities of new media, such as the internet, surprisingly do not seem to be of importance to patients in this context.
患者对自身疾病的了解,以及他们对干预前、会诊和治疗的期望,可能与医生的设想不同。因此,医生能够识别误解和缺失的知识,并在术前会诊中关注这些要点,以及满足患者对会诊本身的期望,这非常重要。本研究的目的是识别计划接受眼科治疗的患者的此类期望和知识差距。
在一家三级护理中心的眼科门诊,向100名患者发放了一份主要包含封闭式问题的匿名问卷。答案大多是评分量表上的单项选择题。
55%的患者在收到问卷之前接受过眼科干预;36%的患者接受过两次以上。超过一半的患者在预约之前没有了解过计划中的手术。他们最担心并发症(59%),最不担心麻醉(29%)。当被问及此事时,患者认为提供有关并发症的信息最为重要,并且最常要求了解计划手术对日常活动的影响。
大约一半的患者在会诊前没有自行了解相关情况。关于成功率和可能的术后损伤进行全面解释似乎至关重要。在这种情况下,诸如互联网等新媒体的作用,出人意料地似乎对患者并不重要。