A1 Refereed original research article in a scientific journal
Patient education in relation to informational needs and postoperative complications in surgical patients
Authors: Koivisto JM, Saarinen I, Kaipia A, Puukka P, Kivinen K, Laine KM, Haavisto E
Publication year: 2020
Journal: International Journal for Quality in Health Care
Journal name in source: International journal for quality in health care : journal of the International Society for Quality in Health Care
Journal acronym: Int J Qual Health Care
Volume: 32
First page : 35
Last page: 40
ISSN: 1353-4505
eISSN: 1464-3677
DOI: https://doi.org/10.1093/intqhc/mzz032
Abstract
To study surgical patients' informational expectations and the level of received knowledge at the time of hospital discharge. To examine if there is an association with postoperative complications and the patient´s level of received knowledge.\nComparative descriptive design.\nThe data on patients admitted for non-cardiac surgery were collected in three phases during an eight-month period.\n258 in-ward non-cardiac general surgery and orthopedic surgery adult patients.\nQuestionnaires before admission (knowledge expectations) and at discharge (received knowledge). A telephone interview 30 days after discharge.\nReceived knowledge (as much or more / less) compared to expectations, and its association with post-discharge complications.\nThere were differences between patient groups in their perception of receiving enough knowledge and they were connected to gender (male vs. female OR 2.67, 95% CI 1.55-4.60, P = 0.0004) and procedure (elective orthopedic implant surgery vs. elective minor orthopedic and hand surgery: OR 3.25, 95% CI 1.72-6.17, P = 0.0003). Patients who received less knowledge than expected had more postoperative complications than those who received sufficient (as much or more than expected) information.\nPatients differ in terms of informational needs, and preoperative education prepares the patient for the information provided postoperatively. Patient education may have an influence on recovery from surgery.\nOBJECTIVE\nDESIGN\nSETTING\nPARTICIPANTS\nINTERVENTIONS\nMAIN OUTCOME MEASURES\nRESULTS\nCONCLUSIONS
To study surgical patients' informational expectations and the level of received knowledge at the time of hospital discharge. To examine if there is an association with postoperative complications and the patient´s level of received knowledge.\nComparative descriptive design.\nThe data on patients admitted for non-cardiac surgery were collected in three phases during an eight-month period.\n258 in-ward non-cardiac general surgery and orthopedic surgery adult patients.\nQuestionnaires before admission (knowledge expectations) and at discharge (received knowledge). A telephone interview 30 days after discharge.\nReceived knowledge (as much or more / less) compared to expectations, and its association with post-discharge complications.\nThere were differences between patient groups in their perception of receiving enough knowledge and they were connected to gender (male vs. female OR 2.67, 95% CI 1.55-4.60, P = 0.0004) and procedure (elective orthopedic implant surgery vs. elective minor orthopedic and hand surgery: OR 3.25, 95% CI 1.72-6.17, P = 0.0003). Patients who received less knowledge than expected had more postoperative complications than those who received sufficient (as much or more than expected) information.\nPatients differ in terms of informational needs, and preoperative education prepares the patient for the information provided postoperatively. Patient education may have an influence on recovery from surgery.\nOBJECTIVE\nDESIGN\nSETTING\nPARTICIPANTS\nINTERVENTIONS\nMAIN OUTCOME MEASURES\nRESULTS\nCONCLUSIONS
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