Byrd Jacqueline N, Huynh Kristine A, Cho Hoyune E, Chung Kevin C
From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich.
Department of Surgery, University of Texas Southwestern Medical School, Dallas, Tex.
Plast Reconstr Surg Glob Open. 2023 May 19;11(5):e4995. doi: 10.1097/GOX.0000000000004995. eCollection 2023 May.
We aimed to review common patient concerns after surgical repair of distal radius fracture (DRF) to identify potential interventions to improve the gap between expectation and education for DRF patients.
We conducted a retrospective cohort study of 100 consecutive patients who underwent surgical repair of DRF at a level I trauma center. Patient-initiated communication notes were reviewed with thematic analysis to identify the common reasons patients required additional information. We used the Patient Education Materials Assessment Tool to score the available educational resources for DRF patients for the understandability and actionability of the educational materials provided to the patients.
Of 165 patient communication episodes, 88.5% occurred postoperatively. The most common concerns were pain (30, 15.4%) and surgical site changes (24, 12.3%). Most communications (171, 83.4%) were resolved with patient education through instruction or reassurance. The reviewed materials did not address pain or surgical site changes. No reviewed materials provided actionable steps patients could take to facilitate recovery.
Pain management and normal wound healing were the most common surgical concerns of DRF patients. We identify opportunities to improve expectation-setting in online materials and during face-to-face education to create a more patient-centered perioperative experience.
我们旨在回顾桡骨远端骨折（DRF）手术修复后患者常见的担忧，以确定潜在的干预措施，缩小DRF患者期望与教育之间的差距。
我们对在一级创伤中心接受DRF手术修复的100例连续患者进行了回顾性队列研究。通过主题分析对患者发起的沟通记录进行审查，以确定患者需要额外信息的常见原因。我们使用患者教育材料评估工具，对提供给DRF患者的教育资源在易懂性和可操作性方面进行评分。
在165次患者沟通事件中，88.5%发生在术后。最常见的担忧是疼痛（30例，15.4%）和手术部位变化（24例，12.3%）。通过指导或安抚进行患者教育解决了大多数沟通问题（171次，83.4%）。审查的材料未涉及疼痛或手术部位变化。没有审查的材料提供患者可采取的促进康复的可行步骤。
疼痛管理和伤口正常愈合是DRF患者最常见的手术相关担忧。我们确定了在在线材料和面对面教育中改善期望设定的机会，以创造更以患者为中心的围手术期体验。
