Hangzhou Medical College, Hangzhou, China.
Zhejiang Chinese Medical University, Hangzhou, China.
BMC Gastroenterol. 2023 Mar 14;23(1):73. doi: 10.1186/s12876-023-02712-8.
To explore the sources of information on antireflux surgery for patients undergoing this surgery in China.
Patients who underwent antireflux surgery in the Gastroesophageal Reflux Center of the Zhejiang Provincial People's Hospital from January 2016 to June 2021 were selected as survey subjects, and a questionnaire survey was conducted by telephone.
A total of 358 questionnaires were distributed, and 320 valid questionnaires were recovered, yielding a 89.4% completion rate. Among patients' sources of information about antireflux surgery, the media was the primary source (33.8%) followed by recommendations from relatives or friends (27.8%), referrals from physicians (23.4%) and other sources (15.0%). Patients of different ages and educational levels have different sources for obtaining information about the procedure. Most of the information on surgery for patients aged 20 to 49 years was derived from recommendations from friends or relatives, whereas most of the information on surgery for patients aged 50 to 80 years was obtained from the media. Most of the information on surgery for patients with a primary school education or less was derived from physicians' recommendations, whereas most of the information for patients with a junior secondary school education or higher was obtained from the media. The recommendation of patients for surgery varied among the different departments (X = 36.011, p < 0.001), and a two-to-two comparison found that the recommended rates for cardiology and gastroenterology differed from the rates of other groups (p < 0.001, Table 2).
The results of this investigation show that a large number of patients who underwent antireflux surgery learned about the operation through the media and recommendations from relatives or friends rather than physicians at the hospital. Notably, physicians specializing in GERD need to increase their knowledge of the disease and surgical treatment options to provide correct medical information to patients and to conduct media campaigns.
探讨中国行抗反流手术患者获取该手术信息的来源。
选取 2016 年 1 月至 2021 年 6 月在浙江省人民医院胃食管反流病中心行抗反流手术的患者作为调查对象，采用电话问卷调查。
共发放 358 份问卷，回收有效问卷 320 份，完成率 89.4%。患者获取抗反流手术信息的来源中，媒体是主要来源（33.8%），其次是亲友推荐（27.8%）、医生转诊（23.4%）和其他来源（15.0%）。不同年龄和文化程度的患者获取信息的来源不同。2049 岁患者的手术信息主要来源于亲友推荐，而 5080 岁患者的手术信息主要来源于媒体；文化程度在小学及以下的患者主要来源于医生推荐，文化程度在初中及以上的患者主要来源于媒体。不同科室患者推荐手术的比例不同（X²=36.011，p<0.001），两两比较发现心内科和消化内科推荐率与其他组比较差异有统计学意义（p<0.001，表 2）。
本研究结果显示，大量行抗反流手术的患者是通过媒体和亲友推荐了解手术的，而非医院的医生。专门从事 GERD 的医生需要增加对疾病和手术治疗选择的了解，为患者提供正确的医疗信息，并开展媒体宣传。
