Maffei Jenna Bates, Song Jeffrey J, Saffati Gal, Khera Mohit
Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Transl Androl Urol. 2025 Mar 30;14(3):678-684. doi: 10.21037/tau-24-501. Epub 2025 Mar 26.
Health literacy significantly influences healthcare outcomes, with poor literacy leading to worse quality of life, increased mortality, and higher readmission rates. Recent efforts to improve post-encounter education include structured teach-back methods, patient preference assessments, and standardized discharge instructions. Studies in emergency departments have shown that incorporating video discharge instructions enhances patient understanding and retention of care information. To address the gap in urology, this study aims to evaluate patient comprehension and satisfaction with video discharge instructions following clinic-based vasectomy procedures.
We performed an Institutional Review Board approved (#H-51614) unblinded randomized controlled study with written consent from each participant. All men undergoing vasectomy from August to September 2022 in our outpatient clinic were included in our study. Patients were randomized to receive either video or written discharge instructions. A standardized questionnaire was administered containing objective comprehension questions regarding the discharge instructions they received. Patients were also queried on their preference of discharge instruction format and subjective Likert-scale of information usefulness and format understandability.
Each cohort contained 11 men. There was no difference in age or educational level between the groups (P=0.91, 0.38, respectively). The video cohort exhibited increased comprehension scores (P<0.001). There was no difference between cohorts in ratings of information helpfulness and instruction understandability (P=0.48, 0.06, respectively). Approximately 73% of men in the video group preferred to receive both video and written instructions while 73% patients in the written cohort preferred to receive only written instructions (P<0.001).
Use of video discharge instructions significantly improved objective comprehension with similar perceptions of information helpfulness and understandability. Patients who received video discharge instructions were more likely to prefer receiving both written and video instructions than those who received written instructions. Overall, these findings support the utility of video discharge instructions in a urologic setting.
健康素养对医疗保健结果有重大影响，低素养会导致生活质量下降、死亡率上升和再入院率升高。近期改善出院后教育的努力包括结构化反馈教学法、患者偏好评估和标准化出院指导。急诊科的研究表明，纳入视频出院指导可提高患者对护理信息的理解和记忆。为填补泌尿外科领域的这一空白，本研究旨在评估基于门诊输精管结扎术的视频出院指导的患者理解度和满意度。
我们进行了一项经机构审查委员会批准（#H - 51614）的非盲随机对照研究，每位参与者均签署了书面同意书。2022年8月至9月在我们门诊接受输精管结扎术的所有男性均纳入本研究。患者被随机分为接受视频或书面出院指导两组。发放一份标准化问卷，其中包含关于他们所接受出院指导的客观理解问题。还询问了患者对出院指导形式的偏好以及关于信息有用性和形式可理解性的主观李克特量表评分。
每个队列包含11名男性。两组之间的年龄或教育水平无差异（P值分别为0.91和0.38）。视频队列的理解得分更高（P<0.001）。两组在信息有用性评分和指导可理解性方面无差异（P值分别为0.48和0.06）。视频组中约73%的男性更喜欢同时接受视频和书面指导，而书面队列中73%的患者更喜欢仅接受书面指导（P<0.001）。
使用视频出院指导显著提高了客观理解度，同时在信息有用性和可理解性方面的认知相似。与接受书面指导的患者相比，接受视频出院指导的患者更倾向于同时接受书面和视频指导。总体而言，这些发现支持了视频出院指导在泌尿外科环境中的实用性。
