Shultz Kyle, Mastrocola Marissa, Smith Tyler, Busconi Brian
Orthopedic and Sports Medicine Center, Elkhart, Indiana.
University of Massachusetts, Worcester, Massachusetts.
Arthrosc Sports Med Rehabil. 2023 Jul 22;5(4):100757. doi: 10.1016/j.asmr.2023.100757. eCollection 2023 Aug.
To understand what portions of the surgical day patients remember, what parts of an e-mailed media package regarding their surgery patients are used, and how that information affects their surgical experience.
Patients undergoing an outpatient arthroscopic procedure were approached in the preoperative area and asked to remember 3 words. Postoperatively, they were seen by the surgeon to discuss surgical findings and instructions. They were then e-mailed a multimedia package containing a thank you letter, postoperative instructions, annotated arthroscopy images, and a personalized video from the surgeon. Patients were called 2 to 5 days after surgery to answer survey questions and recall the 3 words they were told on the day of surgery.
Of the 160 patients, 100% received and accessed the e-mail. When asked if they remembered the postoperative conversation, 125 (78.1%) patients responded yes and 35 (21.9%) responded no. When asked to rate how well they remembered the postoperative conversation, 75.2% patients rated their memory very poor (48, 38.4%) or poor (46, 36.8%). Similarly, 129 (80.6%) patients were unable to remember the 3 surgeon-related words. One hundred percent of patients strongly agreed (145, 90.6%) or agreed (15, 9.4%) the e-mail package enhanced their experience. In addition, 100% of patients strongly agreed (150, 93.8%) or agreed (10, 6.2%) the surgeon video enhanced their experience. The average e-mail shares per patient was 2.5, with 158 (98.7%) of patients sharing the e-mail at least once.
This study shows that patients had poor memory of in-person conversations on the day of surgery. However, patients were satisfied with a postoperative multimedia package provided via e-mail after surgery. Patients interacted with the e-mail primarily on their cell phones, liked the surgeon video, and shared the e-mail with others.
Level IV, therapeutic case series.
了解患者对手术当天哪些部分有记忆，患者使用了电子邮件发送的关于其手术的媒体包中的哪些部分，以及这些信息如何影响他们的手术体验。
在术前区域接触接受门诊关节镜手术的患者，要求他们记住3个单词。术后，外科医生与他们会面讨论手术结果和医嘱。然后通过电子邮件向他们发送一个多媒体包，其中包含一封感谢信、术后医嘱、带注释的关节镜图像以及外科医生的个性化视频。术后2至5天致电患者回答调查问卷问题，并让他们回忆手术当天被告知的3个单词。
160名患者中，100%收到并访问了电子邮件。当被问及是否记得术后谈话时，125名（78.1%）患者回答是，35名（21.9%）患者回答否。当被要求对他们对术后谈话的记忆程度进行评分时，75.2%的患者将他们的记忆评为非常差（48名，38.4%）或差（46名，36.8%）。同样，129名（80.6%）患者记不住与外科医生相关的3个单词。100%的患者强烈同意（145名，90.6%）或同意（15名，9.4%）电子邮件包增强了他们的体验。此外，100%的患者强烈同意（150名，93.8%）或同意（10名，6.2%）外科医生的视频增强了他们的体验。每位患者的电子邮件平均分享次数为2.5次，158名（98.7%）患者至少分享过一次电子邮件。
本研究表明，患者对手术当天的面对面谈话记忆不佳。然而，患者对术后通过电子邮件提供的多媒体包感到满意。患者主要通过手机与电子邮件互动，喜欢外科医生的视频，并与他人分享电子邮件。
四级，治疗性病例系列。
