Department of Psychiatry, Boston Children's Hospital, Boston, MA, US.
Harvard Medical School, Boston, MA, US.
Spine Deform. 2021 Sep;9(5):1363-1370. doi: 10.1007/s43390-021-00322-6. Epub 2021 Mar 10.
Spinal fusion surgery is associated with high levels of stress and anxiety for patients and their caregivers. Medical simulation has demonstrated efficacy in improving preparedness, knowledge, and overall experience prior to other medical procedures. The current study examines the utility of a multi-faceted preparation program (SIMDiscovery) using simulation techniques to reduce anxiety and increase preparedness among patients undergoing spinal fusion surgery and their caregivers.
Participants attended SIMDiscovery where they received hands-on preparation about what to expect before, during, and after their surgery. Anxiety, preparedness, and knowledge about the procedure were assessed pre- and post-participation using self-report measures. Participants also completed a questionnaire at their first post-operative medical appointment. Differences from pre to post and between patients and caregivers were calculated with paired and independent sample t-tests.
Participants included 22 patients and 29 caregivers. Post-SIMDiscovery, both groups demonstrated increased knowledge for the surgical process and lower state anxiety. Patients reported increased feelings of preparedness in all areas while caregivers reported increased feelings of preparedness in most areas. Families continued to report positive impact of the program 30 days after surgery; however, they also identified areas where they desired increased preparation.
SIMDiscovery increased patients' and caregivers' knowledge regarding spinal fusion surgery and helped them feel less anxious and more prepared regarding most aspects of the surgical process. These changes were generally maintained throughout the post-operative period. Participants identified areas for increased preparation, highlighting the importance of continuing to adapt programs based on patient and family feedback.
Level III.
脊柱融合手术会给患者及其护理人员带来高度的压力和焦虑。医学模拟已经证明，在进行其他医疗程序之前，它在提高准备、知识和整体体验方面是有效的。本研究考察了使用模拟技术的多方面准备计划（SIMDiscovery）在减少脊柱融合手术患者及其护理人员的焦虑和提高准备方面的效用。
参与者参加了 SIMDiscovery，在那里他们接受了关于手术前后预期的实践准备。使用自我报告的措施，在参与前后评估焦虑、准备和对手术的了解程度。参与者还在第一次术后医疗预约时完成了一份问卷。使用配对和独立样本 t 检验计算了从预到后的差异以及患者和护理人员之间的差异。
参与者包括 22 名患者和 29 名护理人员。在 SIMDiscovery 之后，两组的手术过程知识都有所增加，状态焦虑也有所降低。患者报告在所有方面的准备感增强，而护理人员报告在大多数方面的准备感增强。家庭在手术后 30 天继续报告该计划的积极影响；然而，他们也确定了他们希望增加准备的领域。
SIMDiscovery 增加了患者和护理人员对脊柱融合手术的了解，帮助他们在手术过程的大多数方面感到焦虑程度降低，准备程度更高。这些变化在整个术后期间基本保持不变。参与者确定了需要增加准备的领域，突出了根据患者和家庭反馈继续调整计划的重要性。
III 级。
