Dawod Moh'd Said, Alswerki Mohammad N, Al Ja'ar Sarah M, Keilani Dana Z, Keilani Lana Z, Alani Maryam A, Saimeh Tamara H, Al-Tamimi Shatha, Al-Shibly Sulaf Moh, Saimeh Zaid H, Al-Juboori Mohammed Ahmed, Alelaumi Ahmad, Alsheikh Farah T, Kamal Tala W, Khanfar Aws
Mutah University, Faculty of Medicine, Karak, Jordan.
Jordan University Hospital, Orthopedic Department, Amman, Jordan.
J Multidiscip Healthc. 2024 Mar 4;17:971-980. doi: 10.2147/JMDH.S451008. eCollection 2024.
Preoperative patient education is pivotal in improving patient outcomes during the perioperative phase, involving a thorough explanation of what patients can expect. This enhances adherence and reduces perioperative anxiety. In orthopedics, carpal tunnel syndrome, a common and painful hand condition, is effectively managed through surgical release under local anesthesia. Inadequate counseling before such procedures may intensify intraoperative anxiety and increase pain responses. Thus, this research aims to investigate the effects of comprehensive preoperative counseling on various parameters in carpal tunnel release surgery.
A case-control study design was adopted for this study. A retrospective analysis of patients who underwent carpal tunnel release surgery was performed. These patients were categorized into two distinct groups: one group received comprehensive counseling during their clinic visits, while the other group reported receiving less effective counseling. Evaluation encompassed patient-related factors, disease-related aspects, and perioperative variables for both groups.
The study comprised 681 participants, with 526 (77.2%) being females, 421 (61.8%) undergoing surgery on the right side, and 519 (76.2%) employed in non-manual occupations. Moreover, 559 (82.1%) were non-smokers, while approximately two-thirds of the cohort had both diabetes and hypertension. The average age of participants was 52 years, and they reported a mean functional disability score of 7.2 out of 10. The comprehensive preoperative counseling group consisted of 333 patients, while the other group included 348 patients. The analysis revealed statistically significant differences between the two groups, including reduced intra-procedural anxiety (p = 0.043), decreased intraoperative pain (p = 0.005), lower rates of wound complications (p = 0.022), and improved self-reported pain relief (p = 0.3).
Our study emphasizes the crucial role of preoperative counseling in improving patient experiences during perioperative care, leading to reduced anxiety, milder pain responses, fewer complications, decreased reliance on postoperative pain medication, and increased self-reported pain relief.
Level III, Case-control retrospective study.
术前患者教育对于改善围手术期患者的预后至关重要，包括对患者预期情况的全面解释。这可提高依从性并减轻围手术期焦虑。在骨科领域，腕管综合征是一种常见且疼痛的手部疾病，通过局部麻醉下的手术松解可有效治疗。在此类手术前咨询不足可能会加剧术中焦虑并增加疼痛反应。因此，本研究旨在探讨全面术前咨询对腕管松解手术中各项参数的影响。
本研究采用病例对照研究设计。对接受腕管松解手术的患者进行回顾性分析。这些患者被分为两个不同的组：一组在门诊就诊时接受了全面咨询，而另一组报告接受的咨询效果较差。对两组患者的相关因素、疾病相关方面和围手术期变量进行了评估。
该研究共纳入681名参与者，其中526名（77.2%）为女性，421名（61.8%）在右侧进行手术，519名（76.2%）从事非体力职业。此外，559名（82.1%）为非吸烟者，约三分之二的队列同时患有糖尿病和高血压。参与者的平均年龄为52岁，他们报告的平均功能残疾评分为7.2分（满分10分）。术前全面咨询组有333名患者，另一组有348名患者。分析显示两组之间存在统计学显著差异，包括术中焦虑减轻（p = 0.043）、术中疼痛减轻（p = 0.005）、伤口并发症发生率降低（p = 0.022）以及自我报告的疼痛缓解改善（p = 0.3）。
我们的研究强调了术前咨询在改善围手术期护理中患者体验方面的关键作用，可导致焦虑减轻、疼痛反应较轻、并发症较少、对术后止痛药的依赖减少以及自我报告的疼痛缓解增加。
III级，病例对照回顾性研究。
