Table 5_Patient recall of postoperative protocols following hand surgery does not differ by information provider: a randomized clinical trial.docx

Understanding of postoperative care is limited in patients who undergo ambulatory surgery. This study compares patients' recall of information regarding postoperative self-care when being verbally informed by either a surgeon or assistant nurse postoperatively prior to discharge. Secondary objectives for this study are to compare differences in patients' level of “feeling that they understood the information”, stress, and satisfaction. A non-blinded randomized single-center controlled trial was conducted at a hand surgical unit in Northern Sweden (Trial Registration ID: NCT03893968). Patients were randomized into a control (surgeon) or intervention group (assistant nurse). Patients were asked seven questions about postoperative self-care one week postoperatively via telephone call, yielding a maximum score of seven points. Thirty-nine patients were informed by assistant nurses, and thirty-three patients were informed by surgeons. There was no difference in recall between the two groups (4.95 vs. 5.15, p = 0.5). Patients from both groups lacked knowledge on postoperative outcomes (41.0% vs. 42.4%). The mean scores for “feeling of having understood the information” (mean of 9.23 for patients informed by assistant nurses vs. mean of 9.45 for patients informed by surgeons) and satisfaction (9.69 vs. 9.45, respectively) was high, while mean scores for stress was low (1.38 vs. 1.18, respectively). Few patients answered all questions correctly: 8.3% of the patients answered all questions correctly, and 37.5% of the patients answered six or more questions correctly. The findings suggest that surgeons and assistant nurses are equally good at verbally informing patients regarding postoperative hand-surgical self-care. More effort is needed to make patients understand symptoms of postoperative infections.

接受门诊手术的患者对术后护理的认知普遍存在不足。本研究对比了术后出院前，分别由外科医生或助理护士口头告知术后自我护理相关信息后，患者对该信息的记忆情况。本研究的次要目的为对比患者“感知信息掌握程度”、应激水平与满意度的差异。本研究在瑞典北部的一所手外科病房开展，为非盲随机单中心对照试验（试验注册号：NCT03893968）。研究对象被随机分为对照组（外科医生告知组）与干预组（助理护士告知组）。术后一周时，研究人员通过电话向患者询问7道术后自我护理相关问题，满分为7分。最终纳入的患者中，39例由助理护士进行告知，33例由外科医生进行告知。两组患者的信息记忆得分无统计学差异（4.95 vs 5.15，p=0.5）。两组患者均对术后转归相关知识掌握不足（分别为41.0%与42.4%）。两组患者的“感知信息已掌握”评分（助理护士告知组为9.23，外科医生告知组为9.45）与满意度评分（分别为9.69与9.45）均处于较高水平，而应激评分均较低（分别为1.38与1.18）。仅有少数患者可全部答对题目：8.3%的患者完全答对所有问题，37.5%的患者答对6道及以上题目。研究结果表明，外科医生与助理护士在口头告知患者手外科术后自我护理相关信息方面效果相当；后续仍需加强患者对术后感染症状的认知教育。