Bayram John M, Lawson Graham M, Hamilton David F
University of Edinburgh Medical School, Edinburgh, UK.
Department of Orthopaedics and Trauma, Royal Infirmary of Edinburgh, Edinburgh, UK.
Knee. 2019 Oct;26(5):1026-1031. doi: 10.1016/j.knee.2019.06.011. Epub 2019 Aug 18.
This study examined the effects of a patient information leaflet on outcomes related to patient satisfaction following knee arthroscopy.
Cohort study of patients listed for knee arthroscopy under the care of a single surgeon over a nine-month period (May 2017-January 2018) following the introduction of an information leaflet as an adjunct to the consent process. Outcome data was collected postoperatively through telephone follow-up. Outcome measures included feelings of involvement with decision-making, expectations being met, satisfaction, postoperative pain numerical rating scales and the Forgotten Joint Score-12.
Fifty-five patients were consented by the operating surgeon, of which 28 (50.9%) received a leaflet and 27 (49.1%) did not. Patients who received the information leaflet felt more involved in and informed about the decision to have an operation than patients who did not (p = 0.016), however there were no differences in any other outcomes between patients who did and did not receive a leaflet (p > 0.05).
The use of an information leaflet as an adjunct to the preoperative consultation is an effective way of helping patients feel more involved in the surgical decision-making process, however this does not influence overall outcome or satisfaction metrics.
本研究探讨了患者信息手册对膝关节镜检查后患者满意度相关结果的影响。
对在一名外科医生照料下计划进行膝关节镜检查的患者进行队列研究，研究为期九个月（2017年5月至2018年1月），在此期间引入了一份信息手册作为同意过程的辅助手段。术后通过电话随访收集结果数据。结果指标包括参与决策的感受、期望达成情况、满意度、术后疼痛数字评分量表以及遗忘关节评分-12。
55名患者由主刀医生取得同意，其中28名（50.9%）收到了手册，27名（49.1%）未收到。收到信息手册的患者比未收到的患者感觉在手术决策中参与度更高且了解更多信息（p = 0.016），然而，收到和未收到手册的患者在任何其他结果方面均无差异（p > 0.05）。
使用信息手册作为术前咨询的辅助手段是帮助患者在手术决策过程中感觉更有参与感的有效方法，然而这并不影响总体结果或满意度指标。
