Aabakken L, Baasland I, Lygren I, Osnes M
Dept. of Medical Gastroenterology, Ullevål University Hospital, Oslo, Norway.
Endoscopy. 1997 Jan;29(1):23-6. doi: 10.1055/s-2007-1004056.
In the process of revising our written patient information, we wanted to incorporate some patient feedback into the text, and to compare the new brochures with the old one in terms of procedure-related anxiety and general patient satisfaction.
A total of 136 patients were asked about their present sources of information and issues they would like more information on. New brochures were developed for upper endoscopy, colonoscopy, and endoscopic retrograde cholangiopancreatography (ERCP), and 235 consecutive patients were then randomized to receive either the new brochures or the old one. Before the endoscopy procedure, the patients' sources of information, level of anxiety (on a five-point Likert scale) and general satisfaction with the written information was assessed. In addition, 89 patients completed a similar questionnaire after completing the endoscopic procedure, recording their degree of anxiety and discomfort during the procedure, and the appropriateness of the written information they had received.
The written brochure was regarded as providing important information by 79% of the patients, while only 31% felt they had received important information from their referring doctor. The general level of anxiety was 2.0 (slightly anxious) with both brochures, with a mean score of 2.1 and 1.9 for the old brochure and the new one, respectively (P = 0.04). Previous endoscopy, male sex and high age were associated with a lower anxiety score. The post-endoscopy response indicated that the patients had received a realistic description of the procedure. The new brochures were rated as "excellent" or "very good" by 87% of the respondents.
We have developed a new set of information brochures which appear to serve the purpose of providing adequate information, without causing patients undue anxiety.
在修订我们的书面患者信息过程中，我们希望将一些患者反馈纳入文本，并就与操作相关的焦虑和患者总体满意度方面，将新宣传册与旧宣传册进行比较。
共询问了136名患者关于他们当前的信息来源以及他们希望获取更多信息的问题。针对上消化道内镜检查、结肠镜检查和内镜逆行胰胆管造影（ERCP）制定了新的宣传册，然后将235名连续就诊的患者随机分为两组，分别接受新宣传册或旧宣传册。在内镜检查前，评估患者的信息来源、焦虑程度（采用五点李克特量表）以及对书面信息的总体满意度。此外，89名患者在完成内镜检查后填写了一份类似的问卷，记录他们在检查过程中的焦虑程度和不适程度，以及他们所收到的书面信息的恰当性。
79%的患者认为书面宣传册提供了重要信息，而只有31%的患者觉得他们从转诊医生那里获得了重要信息。两种宣传册的总体焦虑水平均为2.0（轻度焦虑），旧宣传册和新宣传册的平均得分分别为2.1和1.9（P = 0.04）。既往内镜检查史、男性以及高龄与较低的焦虑得分相关。内镜检查后的反馈表明，患者对检查过程有了现实的描述。87%的受访者将新宣传册评为“优秀”或“非常好”。
我们制定了一套新的信息宣传册，似乎达到了提供充分信息且不会给患者造成过度焦虑的目的。
