视觉教具可提高患者对结肠切除术的理解，并减轻术前焦虑。
Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy.
作者信息
Stewart James A, Wood Lauren, Wiener Jameson, Kennedy Gregory D, Chu Daniel I, Lancaster Jeffrey R, Morris Melanie S
机构信息
School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
Am J Surg. 2021 Oct;222(4):780-785. doi: 10.1016/j.amjsurg.2021.01.029. Epub 2021 Jan 26.
BACKGROUND
Informed consent forms consist of large blocks of written information that may be difficult for patients to understand. Visual teaching aids are promising, however, they have not been studied as a pre-operative educational tool for common surgical procedures. We pilot tested the use of a visual teaching aid during the informed consent process for a colectomy.
METHODS
A randomized pilot study was performed. Participants were randomized into the visual teaching aid group or standard care. Following the consent process, participants were questioned about potential surgical complications, anxiety, satisfaction, and understanding.
RESULTS
30 participants were enrolled. Potential complication recall and patient-reported understanding were improved in the visual group (p = 0.01, p = 0.03). Anxiety levels were reduced in the visual group (p = 0.02). No statistically significant data were found for satisfaction (p = 0.75).
CONCLUSIONS
Utilizing a visual teaching aid during the consent process for colectomy increases patient recall of risks, reduces anxiety, and improves understanding.
背景
知情同意书包含大量书面信息，患者可能难以理解。视觉教具很有前景，然而，它们尚未作为常见外科手术的术前教育工具进行研究。我们在结肠切除术的知情同意过程中对视觉教具的使用进行了试点测试。
方法
进行了一项随机试点研究。参与者被随机分为视觉教具组或标准护理组。在同意过程之后，对参与者询问有关潜在手术并发症、焦虑、满意度和理解情况。
结果
招募了30名参与者。视觉教具组的潜在并发症回忆和患者报告的理解有所改善（p = 0.01，p = 0.03）。视觉教具组的焦虑水平降低（p = 0.02）。未发现满意度有统计学显著数据（p = 0.75）。
结论
在结肠切除术的同意过程中使用视觉教具可提高患者对风险的回忆，降低焦虑，并增进理解。
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