Department of Otolaryngology Head & Neck Surgery, McGill University Health Centre, Montreal, Québec, Canada.
Department of Nursing, Jewish General Hospital, Montreal, Québec, Canada.
JAMA Otolaryngol Head Neck Surg. 2022 Feb 1;148(2):173-179. doi: 10.1001/jamaoto.2021.3765.
Patient education and engagement is a pivotal component of surgical recovery. Ensuring proper patient education involves a thorough understanding of one's diagnosis and recovery plan, while reducing language and learning barriers to help patients make informed decisions and improve their hospital experience.
To assess whether using an animated surgical guide will help patients who are undergoing head and neck surgery feel more satisfied with their surgery and recovery process.
DESIGN, SETTING, AND PARTICIPANTS: A randomized clinical trial was conducted between January and August 2020 at a single tertiary care academic center in Montreal, Canada. A consecutive sample of individuals who were undergoing any of the following surgical procedures was recruited: head and neck cancer resection with or without reconstruction, parotidectomy, thyroidectomy, parathyroidectomy, laryngectomy, or transoral robotic resection. The treating team was masked to group allocation, while study participants in the nonintervention group were unaware of the multimedia platform to avoid introducing bias in their survey responses.
Patients were randomly allocated to either the treatment arm, in which they obtained access to a multimedia patient education platform, or the control arm, in which they received traditional patient education methods via clinical visits.
Primary analysis compared patient satisfaction scores on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire INFO 25, a validated questionnaire on the perceived quality of information received by patients with cancer (possible scores ranging from 20 to 80).
A total of 100 patients (50 in each arm; 63 women [63%]; 6 African American [6%, 12 Hispanic/Latino [12%], 11 Middle Eastern [11%], and 78 White [78%] individuals) completed the preintervention and postintervention questionnaires. In those who received access to the patient education platform, there was an 11.3-point (Cohen d = 1.02; control group score, 61.1 of 80; treatment group score, 72.4 of 80) difference of greater postoperative satisfaction scores at 1 month. While both groups felt that they received an adequate amount of information concerning their disease process, patients in the treatment arm had significantly better satisfaction with information concerning their medical tests, treatments, and other services.
This randomized clinical trial of patients undergoing head and neck cancer treatment demonstrates that multimedia patient education platforms may enhance current traditional methods, providing complementary information on patients' treatment plans and recovery process, mental health, family life, and supplementary services. Further research is currently underway to confirm whether this platform will lead to decreased hospital stay, shorter complication rates, and long-term effects.
ClinicalTrials.gov Identifier: NCT04048538.
患者教育和参与是手术恢复的关键组成部分。确保适当的患者教育需要彻底了解患者的诊断和康复计划，同时减少语言和学习障碍，以帮助患者做出明智的决策并改善他们的住院体验。
评估使用动画手术指南是否会帮助接受头颈部手术的患者对手术和康复过程更满意。
设计、地点和参与者：这是一项于 2020 年 1 月至 8 月在加拿大蒙特利尔的一家单一三级护理学术中心进行的随机临床试验。连续招募了接受以下任何手术的患者：头颈部癌症切除术（伴或不伴重建）、腮腺切除术、甲状腺切除术、甲状旁腺切除术、喉切除术或经口机器人切除术。治疗团队对分组分配保持盲态，而对照组的研究参与者不知道多媒体平台，以避免在他们的调查回答中引入偏见。
患者被随机分配到治疗组或对照组，治疗组可以访问多媒体患者教育平台，对照组则通过临床就诊获得传统的患者教育方法。
主要分析比较了欧洲癌症研究和治疗组织生活质量问卷 INFO 25 的患者满意度评分，该问卷是评估癌症患者所获得信息质量的有效工具（可能的评分范围为 20 至 80）。
共有 100 名患者（每组 50 名；63 名女性[63%]；6 名非裔美国人[6%]，12 名西班牙裔/拉丁裔[12%]，11 名中东人[11%]，78 名白人[78%]）完成了干预前和干预后的问卷。在接受患者教育平台的患者中，术后 1 个月的满意度评分差异为 11.3 分（Cohen d=1.02；对照组评分 61.1 分，治疗组评分 72.4 分）。虽然两组患者都认为他们获得了足够的疾病过程信息，但治疗组患者对医疗检查、治疗和其他服务的信息满意度明显更高。
这项对头颈部癌症治疗患者进行的随机临床试验表明，多媒体患者教育平台可以增强当前的传统方法，提供有关患者治疗计划和康复过程、心理健康、家庭生活和补充服务的补充信息。目前正在进行进一步的研究，以确认该平台是否会降低住院时间、缩短并发症发生率并产生长期影响。
ClinicalTrials.gov 标识符：NCT04048538。
