Zhao Carol Xiaoshu, Yam Michael
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Orthopaedic Department, Tan Tock Seng Hospital, 308433, Singapore.
J Orthop. 2024 Feb 10;52:28-32. doi: 10.1016/j.jor.2024.02.010. eCollection 2024 Jun.
Patient specific 3D models have been widely used for pre-op planning and intra-op guidance in orthopaedic surgery. These models however are not often used in pre-operative doctor-patient communication. This study evaluates the roles of customized 3D models in improving patient understanding, confidence, and satisfaction of patient care when they were used during preoperative counselling.
A prospective survey was conducted on 33 orthopaedic trauma patients who were required to rate on a scale of 1-5, the effectiveness of patient specific 3D models in: 1) improving patient's understanding and, 2) helping patients cope with the condition, 3) boosting patients' confidence in the treatment and 4) in the surgeon; and on a scale of 0-10, their overall satisfaction. Subgroup analysis was done to compare ratings of patients by age and by education levels.
Over 90% patients rated agree or strongly agree on customised 3D models' effectiveness in improving understanding of injury and boosting confidence in treatments and surgeons. 87% patients agreed or strongly agreed that the models enhanced patient self-efficacy. No significant correlation was identified between age and patients' perceived effectiveness of customised 3D models in improving patient care. Ratings on four areas evaluated by pre-secondary and post-secondary groups were comparable. Post-secondary group had significantly higher satisfaction level than the pre-secondary group.
Customized 3D models help patients visualise complex pathology to facilitate patients' understanding of their condition and treatment, resulting in improved self-efficacy, confidence, and overall satisfaction. The use of patient specific 3D models in pre-operative counselling allows greater patient involvement therefore prompting patient-centred healthcare. Age does not influence patients' perceived effectiveness of customised 3D models in improving patient care. Patients with higher education level are likely to experience higher satisfaction level due to their willingness to take responsibility for their care.
患者特异性三维模型已广泛应用于骨科手术的术前规划和术中引导。然而，这些模型在术前医患沟通中并不常用。本研究评估了定制三维模型在术前咨询中使用时，对提高患者对医疗护理的理解、信心和满意度方面的作用。
对33例骨科创伤患者进行了一项前瞻性调查，要求他们对患者特异性三维模型在以下方面的有效性进行1-5分的评分：1）提高患者的理解，2）帮助患者应对病情，3）增强患者对治疗的信心，4）对医生的信心；并对总体满意度进行0-10分的评分。进行亚组分析以比较不同年龄和教育水平患者的评分。
超过90%的患者对定制三维模型在提高对损伤的理解以及增强对治疗和医生的信心方面的有效性给予了同意或强烈同意的评价。87%的患者同意或强烈同意这些模型增强了患者的自我效能感。未发现年龄与患者对定制三维模型在改善医疗护理方面的感知有效性之间存在显著相关性。中学前和中学后组对四个评估领域的评分相当。中学后组的满意度显著高于中学前组。
定制三维模型有助于患者直观了解复杂的病理情况，以促进患者对自身病情和治疗的理解，从而提高自我效能感、信心和总体满意度。在术前咨询中使用患者特异性三维模型可使患者更多地参与其中，从而推动以患者为中心的医疗保健。年龄并不影响患者对定制三维模型在改善医疗护理方面的感知有效性。由于高等教育水平的患者愿意为自己的护理负责，他们可能会体验到更高的满意度。
