O'Neill P, Humphris G M, Field E A
Department of Clinical Dental Sciences, Liverpool Dental School, UK.
Br J Oral Maxillofac Surg. 1996 Aug;34(4):331-4. doi: 10.1016/s0266-4356(96)90014-5.
Attempts to inform the patient about surgical procedures have increased for the purposes of ensuring informed consent and improving satisfaction with the service provided. Leaflets are being used as an additional aid in general practice and in hospital units. However, such written information is seldom evaluated. This study was conducted to assess the influence of using an information leaflet for patients attending oral surgery clinics at a local dental hospital. Sixty-six patients were included in the study and invited to complete a questionnaire to assess knowledge of wisdom tooth removal at the time of examination and just prior to surgery. The validity of the knowledge measure had been previously tested. At 1 month follow-up a patient satisfaction questionnaire was completed by the sample. Patients were randomised at the examination appointment into four groups. The first group was provided with the leaflet and prompted to read it by the dentist (WTL + Prompt). The second group was given the leaflet but not prompted (WTL only). The two other groups acted as controls. The third group was provided with a dental health education leaflet with no prompting (Control 1). The fourth and final group was given no additional written material (Control 2) but provided with verbal information and routine warnings in a similar way to all other groups participating in the study. The WTL + Prompt Group showed increased knowledge on retest (P < 0.001). The WTL Group showed a trend to greater knowledge (P < 0.06) however the control groups showed no improvement (P > 0.5). Patient satisfaction, although greatest in the group given a leaflet without prompting, was not simply related to leaflet provision.
为确保患者知情同意并提高对所提供服务的满意度,告知患者手术程序的尝试有所增加。在全科医疗和医院科室中,宣传册被用作一种辅助手段。然而,此类书面信息很少得到评估。本研究旨在评估在当地一家牙科医院的口腔外科诊所使用信息宣传册对患者的影响。66名患者被纳入研究,并被邀请在检查时和手术前填写一份问卷,以评估对智齿拔除的了解程度。知识测量的有效性此前已得到测试。在1个月的随访中,样本完成了一份患者满意度问卷。患者在检查预约时被随机分为四组。第一组提供宣传册,并由牙医提示阅读(WTL + 提示组)。第二组给予宣传册但未得到提示(仅WTL组)。另外两组作为对照组。第三组提供一份未加提示的牙齿健康教育宣传册(对照组1)。第四组也是最后一组未提供额外的书面材料(对照组2),但与参与研究的所有其他组一样,提供了口头信息和常规警告。WTL + 提示组在复测时知识有所增加(P < 0.001)。WTL组有知识增加的趋势(P < 0.06),然而对照组没有改善(P > 0.5)。患者满意度虽然在未得到提示就收到宣传册的组中最高,但并不单纯与宣传册的提供有关。