一种尺码不适合所有人;患者对乳房再造的偏好。

Eplasty Pub Date : 2022-09-21 eCollection Date: 2022-01-01
Shreya Raman, Lauren E Powell, Emily S Andersen, Lauren C Nigro
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引用次数: 0

摘要

背景:存在无数的乳房重建患者教育模式,尽管患者教育的最佳工具仍未确定。本研究的目的是根据人口统计学变量确定患者对乳房重建教育方式的偏好。方法:在2020年11月至2021年5月期间在三级保健大学卫生系统进行了一项前瞻性观察研究。对乳房重建患者进行问卷调查,以收集人口统计学信息、初次预约前使用的研究来源和首选的教育方式。基于年龄的差异使用独立样本t检验进行分析,而基于种族和教育水平的差异使用Fisher精确检验进行分析。统计学意义定义为P < 0.05。结果:总体而言,最受欢迎的患者教育工具是书籍/书面材料和视频。与老年患者相比,年轻患者更有可能参考其他医生资料(P = 0.0174),并在机构网站上查找信息(P = 0.0465)。那些拥有大学学位的人更有可能在最初的任命之前进行研究(P = 0.0206)。白人患者比非白人患者更有可能将朋友/家人作为研究来源(P = .0150)。结论:无论年龄、教育程度或种族,大多数患者更喜欢书籍/书面材料和视频演示进行乳房再造教育。提供者应努力包括书面和视频选项,以满足这一不同的患者群体的需要。
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One Size Does Not Fit All; Patient Preference for Breast Reconstruction.

Background: A myriad of patient education modalities for breast reconstruction exist, although the optimal tools for patient education remain undetermined. The aim of this study is to determine patient preferences for breast reconstruction education modalities based on demographic variables.

Methods: A prospective observational study at a tertiary care university health system was conducted between November 2020 and May 2021. A questionnaire was administered to breast reconstruction patients to collect information on demographics, research sources used before the initial appointment, and preferred education modalities. Differences based on age were analyzed using an independent samples t test, whereas a Fisher exact test was used to analyze differences based on ethnicity and education level. Statistical significance was defined as P < .05.

Results: The most preferred patient education tools overall were books/written materials and videos. Younger patients were significantly more likely than older patients to have referenced additional physician sources (P = .0174) and to seek out information on the institution's website (P = .0465). Those with a college degree were significantly more likely to have performed research prior to the initial appointment (P = .0206). White patients were significantly more likely than nonwhite patients to talk to friends/family as a research source (P = .0150).

Conclusions: Regardless of age, education, or ethnicity, most patients prefer books/written materials and video presentations for education on breast reconstruction. Providers should strive to include written and video options to meet the needs of this diverse patient population.

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