Howe Lindsay S, Wigmore Daniel, Nelms Nathaniel, Schottel Patrick, Bartlett Craig, Halsey David, Krag Martin, Lunardini David, Monsey Robert, Beynnon Bruce, Blankstein Michael
Larner College of Medicine at the University of Vermont, Burlington, VT.
Department of Orthopaedics and Rehabilitation, University of Vermont Medical Center, Burlington, VT.
J Patient Cent Res Rev. 2021 Apr 19;8(2):107-112. eCollection 2021 Spring.
This study aimed to determine if standardized updates at specific perioperative events affect anxiety and satisfaction of the family members and if the length of surgical procedure affects the satisfaction with updates.
This study was a randomized control trial. In the control group, surgeons communicated with the family only once near the completion of the procedure. In the intervention group, families received electronic updates at 3 significant perioperative events during the procedure. A postoperative survey rating family member satisfaction and anxiety levels, using a Likert scale of 0-5, was administered.
Mean level of overall satisfaction did not differ between groups (intervention: 4.68 ± 0.69 [95% CI: 4.50, 4.87]; control: 4.61 ± 0.78 [95% CI: 4.40, 4.82]; P=0.69). Mean anxiety levels were lower in the intervention group (2.48 ± 1.43 [2.10, 2.86]) than in the control group (3.12 ± 1.32 [2.77, 3.47]; P=0.01). Mean satisfaction with perioperative updates was higher in the intervention (4.48 ± 0.83 [4.26, 4.70]) versus control group (3.16 ± 1.89 [2.67, 3.65]; P=0.0001). For all subjects, there was positive correlation between procedure time and anxiety (Spearman's rho: 0.34; P=0.0002) and negative correlation between procedure time and overall satisfaction (Spearman's rho: -0.23; P=0.01).
Anxiety and satisfaction with perioperative updates were significantly improved by additional perioperative updates. These findings indicate that updating families during significant standardized strategic perioperative events can reduce the anxiety of loved ones and are preferred by most families.
本研究旨在确定特定围手术期事件的标准化信息更新是否会影响家庭成员的焦虑程度和满意度，以及手术时间长短是否会影响对信息更新的满意度。
本研究为随机对照试验。在对照组中，外科医生仅在手术即将结束时与家属沟通一次。在干预组中，家属在手术期间的3个重要围手术期事件时收到电子信息更新。术后采用0至5分的李克特量表对家庭成员的满意度和焦虑程度进行调查评分。
两组的总体满意度平均水平无差异（干预组：4.68±0.69[95%CI：4.50，4.87]；对照组：4.61±0.78[95%CI：4.40，4.82]；P = 0.69）。干预组的平均焦虑水平（2.48±1.43[2.10，2.86]）低于对照组（3.12±1.32[2.77，3.47]；P = 0.01）。干预组对围手术期信息更新的平均满意度（4.48±0.83[4.26，4.70]）高于对照组（3.16±1.89[2.67，3.65]；P = 0.0001）。对于所有受试者，手术时间与焦虑之间存在正相关（斯皮尔曼等级相关系数：0.34；P = 0.0002），手术时间与总体满意度之间存在负相关（斯皮尔曼等级相关系数：-0.23；P = 0.01）。
额外的围手术期信息更新显著改善了围手术期的焦虑和满意度。这些发现表明，在重要的标准化围手术期战略事件期间向家属提供信息更新可以减轻亲人的焦虑，并且受到大多数家庭的青睐。
