Impact of demonstration in a realistic simulation environment as a postoperative education in patients’ experience

ABSTRACT Objective To evaluate the impact of training in the Practical Life Room on patients experience during hospitalization. Methods Subjects submitted to orthopedic surgeries were randomized to two groups (Control and Intervention) in the postoperative period. The Control Group received only the printed guidelines regarding the postoperative period, and the Intervention Group received the printed guidelines and a demonstration and training session with a physical therapist, in an environment created to simulate a house and its rooms (living room, bedroom, kitchen, laundry and bathroom). The participants of both groups answered the questionnaire Hospital Consumer Assessment of Healthcare Providers and Systems on the day of discharge. Results Sixty-eight subjects were included in the study, 30 (44.1%) in the Control Group and 38 (55.9%) in the Intervention Group. The Hospital Consumer Assessment of Healthcare Providers and Systems questionnaire score showed no significant difference between the groups (p=0.496). Conclusion There was no influence of the proposed intervention on the results of the Hospital Consumer Assessment of Healthcare Providers and Systems questionnaire, perhaps because of the limitation of the instrument or due to the fact it was employed when patients were still hospitalized. However, by reports from patients in the Intervention Group about felling better prepared and safer for performing daily activities, it is believed that patient education approaches through demonstration should be included as part of the process to prepare for discharge, whenever possible.

摘要
研究目的：评估日常生活训练室（Practical Life Room）的训练对患者住院期间就医体验的影响。
研究方法：将术后接受骨科手术的受试者随机分为对照组（Control Group）与干预组（Intervention Group）。对照组仅获取术后纸质健康指导；干预组除获取纸质指导外，还在模拟家庭及各功能房间（客厅、卧室、厨房、洗衣间、浴室）的专属环境中，接受物理治疗师的操作演示与专项训练。两组受试者均于出院当日填写《医院消费者医疗服务与系统评估问卷》（Hospital Consumer Assessment of Healthcare Providers and Systems）。
研究结果：本研究共纳入68例受试者，其中对照组30例（占比44.1%），干预组38例（占比55.9%）。两组的医院消费者医疗服务与系统评估问卷得分无显著统计学差异（p=0.496）。
研究结论：本研究所提出的干预措施未对医院消费者医疗服务与系统评估问卷的得分产生显著影响，这可能源于该评估工具的局限性，或是因评估在患者仍住院期间开展所致。不过，干预组患者反馈称其在完成日常活动时准备更充分、更具安全感，因此认为，若条件允许，应将演示式患者教育纳入出院准备流程中。