Mendiratta Dhruv, Singh Rohan, McGrath Aleksandra
Department of Orthopaedics, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, United States.
Department of Clinical Science, Faculty of Medicine, Umeå University, Umeå, Västerbotten, Sweden.
Front Surg. 2025 May 30;12:1559161. doi: 10.3389/fsurg.2025.1559161. eCollection 2025.
Understanding of postoperative care is limited in patients who undergo ambulatory surgery. This study compares patients' recall of information regarding postoperative self-care when being verbally informed by either a surgeon or assistant nurse postoperatively prior to discharge. Secondary objectives for this study are to compare differences in patients' level of "feeling that they understood the information", stress, and satisfaction. A non-blinded randomized single-center controlled trial was conducted at a hand surgical unit in Northern Sweden (Trial Registration ID: NCT03893968). Patients were randomized into a control (surgeon) or intervention group (assistant nurse). Patients were asked seven questions about postoperative self-care one week postoperatively via telephone call, yielding a maximum score of seven points. Thirty-nine patients were informed by assistant nurses, and thirty-three patients were informed by surgeons. There was no difference in recall between the two groups (4.95 vs. 5.15, = 0.5). Patients from both groups lacked knowledge on postoperative outcomes (41.0% vs. 42.4%). The mean scores for "feeling of having understood the information" (mean of 9.23 for patients informed by assistant nurses vs. mean of 9.45 for patients informed by surgeons) and satisfaction (9.69 vs. 9.45, respectively) was high, while mean scores for stress was low (1.38 vs. 1.18, respectively). Few patients answered all questions correctly: 8.3% of the patients answered all questions correctly, and 37.5% of the patients answered six or more questions correctly. The findings suggest that surgeons and assistant nurses are equally good at verbally informing patients regarding postoperative hand-surgical self-care. More effort is needed to make patients understand symptoms of postoperative infections.
接受门诊手术的患者对术后护理的了解有限。本研究比较了患者在出院前由外科医生或助理护士术后口头告知有关术后自我护理信息后的记忆情况。本研究的次要目标是比较患者在“感觉理解了信息”、压力和满意度方面的差异。在瑞典北部的一个手外科单位进行了一项非盲随机单中心对照试验（试验注册号：NCT03893968）。患者被随机分为对照组（外科医生）或干预组（助理护士）。术后一周通过电话询问患者七个关于术后自我护理的问题，满分七分。39名患者由助理护士告知，33名患者由外科医生告知。两组之间的记忆情况没有差异（4.95对5.15，P = 0.5）。两组患者对术后结果均缺乏了解（41.0%对42.4%）。“感觉理解了信息”的平均得分较高（助理护士告知的患者平均分为9.23，外科医生告知的患者平均分为9.45），满意度也较高（分别为9.69和9.45），而压力的平均得分较低（分别为1.38和1.18）。很少有患者所有问题都回答正确：8.3%的患者所有问题都回答正确，37.5%的患者回答六个或更多问题正确。研究结果表明，外科医生和助理护士在口头告知患者术后手部手术自我护理方面同样出色。需要做出更多努力使患者了解术后感染的症状。
