A1 Refereed original research article in a scientific journal

Spinal Stenosis Patients' Visual and Verbal Description of the Comprehension of Their Surgery




AuthorsJukka Kesänen, Helena Leino-Kilpi, Teija Lund, Liisa Montin, Pauli Puukka, Kirsi Valkeapää

PublisherLIPPINCOTT WILLIAMS & WILKINS

Publication year2019

JournalOrthopaedic Nursing

Journal acronymORTHOP NURS

Volume38

Issue4

First page 253

Last page261

Number of pages9

ISSN0744-6020

eISSN1542-538X

DOIhttps://doi.org/10.1097/NOR.0000000000000572

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/42059766


Abstract

BACKGROUND: Spine surgery patients have difficulty comprehending the patient education aimed at preparing for surgery.

PURPOSE: To assess the effect of a specific preoperative education approach (Knowledge Test Feedback Intervention, KTFI) on patients' verbal and visual understanding of their surgery.

METHODS: In this randomized controlled trial, the intervention group (n = 50) went through the KTFI and routine education, whereas the control group (n = 50) received only routine patient education. Written description of the surgical procedure and drawing of incision were used as outcome measures at baseline, at hospitalization, at discharge, and 3 and 6 months after surgery.

RESULTS: At baseline, half of the participants showed verbal and visual understanding of their surgery. During follow-up, understanding improved significantly with no statistically significant differences between the groups.

CONCLUSION: Spinal stenosis patients' understanding of their surgical procedure is imperfect. Patient educators need to ensure patient learning by evaluating comprehension outcomes.


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