Ioannis Papanastassiou MD , Roberta Anderson RNC, ONC , Nicole Barber RN, BSN , Cathleen Conover RN, BSN , Antonio E. Castellvi MD
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引用次数: 51
摘要
术前患者教育(PE)已被许多机构用于处理患者焦虑，疼痛控制和整体满意度。尽管文献表明PE在关节重建中的有效性，但在脊柱手术中缺乏相关数据。方法回顾性分析2009年10月至2010年3月接受择期脊柱手术的PE(脊柱前护理班)患者。在接受调查的155名患者中，77名(49.7%)参加了该课程，78名(50.3%)没有参加。结果护理前班患者对疼痛管理的满意度为96%，对照组为83% (P = 0.02)。学龄前组的整体满意度也有提高的趋势(91% vs 85%;P比;.05，多元回归分析)。老年妇女往往对疼痛管理和整体治疗不太满意。结论PE的实施对患者满意度有积极的影响，特别是在疼痛管理方面。
Effects of preoperative education on spinal surgery patients
Background
Preoperative patient education (PE) has been used by many institutions to deal with patient anxiety, pain control, and overall satisfaction. Although the literature suggests PE's effectiveness in joint reconstruction, data are missing in spinal surgery.
Methods
We retrospectively analyzed patients having elective spinal surgery who underwent PE (spine pre-care class) from October 2009 to March 2010. Of the 155 patients surveyed, 77 (49.7%) attended the class whereas 78 (50.3%) did not.
Results
Of the participants in the pre-care class, 96% were satisfied with their pain management versus 83% in the control group (P = .02). There was also a trend for better overall satisfaction in the pre-care class group (91% vs 85%; P > .05, multiple regression analysis). Elderly women tend to be less satisfied with pain management and overall treatment.
Conclusions
Implementation of PE has had a positive impact on patient satisfaction, especially in terms of pain management.
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