Low Matthew, Burgess Louise C, Wainwright Thomas W
The Royal Bournemouth and Christchurch NHS Trust, Bournemouth, United Kingdom.
Orthopaedic Research Institute, Bournemouth University, Bournemouth, United Kingdom.
J Patient Exp. 2020 Dec;7(6):1403-1409. doi: 10.1177/2374373519897176. Epub 2019 Dec 26.
High-quality patient information is recommended to help reduce procedure-related anxiety and encourage patients to become active participants in their recovery. The objective of this study was to analyze the quality of patient information leaflets (PILs) given to National Health Service (NHS) patients ahead of lumbar spine surgery.
The DISCERN tool was used to evaluate the quality of PILs, sourced from NHS websites.
Thirty-two PILs on lumbar surgery were included. Two (6%) leaflets were considered poor, 13 (41%) were marked as fair, 14 (44%) were of good quality, and 3 (9%) were scored as excellent. The total mean score was 55 (30-74), which corresponds to good quality. The lowest scoring questions were sources of information (Q4), balanced/unbiased content (Q6), and explanation of no treatment (Q12).
There is considerable variation in the quality of PILs provided ahead of lumbar spine surgery. The scope for improvement is clear, and as the move toward patient-centered, evidence-based care continues, it is important that hospital resources provide recommendations based upon evidence of clinical effectiveness.
建议提供高质量的患者信息，以帮助减轻与手术相关的焦虑，并鼓励患者积极参与康复过程。本研究的目的是分析在腰椎手术前提供给国民保健服务（NHS）患者的患者信息手册（PILs）的质量。
使用DISCERN工具评估从NHS网站获取的PILs的质量。
纳入了32份关于腰椎手术的PILs。两份（6%）手册质量较差，13份（41%）被评为中等，14份（44%）质量良好，3份（9%）得分优秀。总平均分是55分（30 - 74分），对应良好质量。得分最低的问题是信息来源（问题4）、内容平衡/无偏见（问题6）以及未治疗的解释（问题12）。
腰椎手术前提供的PILs质量存在很大差异。改进的空间很明显，随着以患者为中心、基于证据的医疗护理的推进，医院资源基于临床有效性证据提供建议非常重要。
