Patient compliance to instructions after oral surgical procedures

Blinder, Danielle; Rotenberg, Leif; Peleg, Michael; Taicher, Shlomo

doi:10.1054/ijom.2000.0045

Cited by 74 publications

(68 citation statements)

References 7 publications

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“…Previous research suggests that patients want to use PHRs and believe that they will be valuable [23]. Moreover, patients believe that their adherence to treatment regimens will improve if they have the opportunity to read and understand their health information [24,25]. However, patients are not typically given the opportunity to review their health information in the hospital.…”

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confidence: 99%

Patient Experiences Using an Inpatient Personal Health Record

Woollen¹,

Prey²,

Wilcox³

et al. 2016

Appl Clin Inform

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SummaryObjective: To investigate patients' experience using an inpatient personal health record (PHR) on a tablet computer to increase engagement in their hospital care. Methods: We performed observations and conducted semi-structured interviews with 14 post-operative cardiac surgical patients and their family members who received an inpatient PHR. Themes were identified using an inductive coding scheme. Results: All participants responded favorably to having access to view their clinical information. A majority (85.7%) of participants used the application following an initial training session. Patients reported high satisfaction with being able to view their hospital medications and access educational materials related to their medical conditions. Patients reported a desire to view daily progress reports about their hospital stay and have access to educational information about their postacute recovery. In addition, patients expressed a common desire to view their diagnoses, laboratory test results, radiology reports, and procedure notes in language that is patient-friendly. Conclusion:Patients have unmet information needs in the hospital setting. Our findings suggest that for some inpatients and their family members, providing personalized health information through a tablet computer may improve satisfaction, decrease anxiety, increase understanding of their health conditions, and improve safety and quality of care. BackgroundBeing a patient in the hospital is an anxiety-inducing experience. Poor communication and lack of access to information can have detrimental effects on a patient's psychological wellbeing and coping abilities [1][2][3][4][5]. Policymakers [6, 7] and patient advocates [8,9] are increasingly focusing on this problem. This study investigates how an inpatient personal health record (PHR) may help address the information needs of patients and improve their engagement and experience in the hospital.Provision of medical information and education about care can allay a patient's uncertainty and stress [10][11][12][13][14][15]. Further, sharing information has been shown to reduce patient requests for clinicians' time, foster a sense of control and empowerment while promoting self-efficacy and ownership of illness [16][17][18], and lead to increased participation as an informed partner in making health decisions [19][20][21][22]. Previous research suggests that patients want to use PHRs and believe that they will be valuable [23]. Moreover, patients believe that their adherence to treatment regimens will improve if they have the opportunity to read and understand their health information [24,25]. However, patients are not typically given the opportunity to review their health information in the hospital. For example, in a survey of hospitalized patients conducted by Cumbler and colleagues, 90% of respondents said they wanted to review their hospital medication list for accuracy, but only 28% said they were given the opportunity to do so [26]. Without access to a documented care plan, patients ar...

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confidence: 99%

Patient Experiences Using an Inpatient Personal Health Record

Woollen¹,

Prey²,

Wilcox³

et al. 2016

Appl Clin Inform

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“…Moreover, verbal or a combination of verbal and written instructions are preferred by most patients, particularly those with lower education. 3,4,6 However, without written reinforcement the understanding and retention of verbal instructions over a lengthy period of recovery cannot be assured.Alexander 3,9 stated that it is time for dental professionals, particularly those in the surgical specialties, to pay more attention to the phrasing, jargon, and terminology used in their postoperative instruction forms, as well as in their office brochures, informed consent forms, and the like. The purpose of this study was to elicit information from a minority sample about the types of problems encountered following oral surgery, the coping strategies they used to manage the problems, and the level of information regarding postoperative instructions they recalled receiving at an inner-city safety net hospital.…”

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confidence: 99%

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confidence: 99%

A qualitative report of patient problems and postoperative instructions

Atchison¹,

Black²,

Leathers³

et al. 2005

Journal of Oral and Maxillofacial Surgery

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Purpose-While surgery related stress may interfere with the patient's ability to concentrate on instructions, language difficulty or low health literacy may also impede appropriate doctor/patient communication. The purpose of this study is to understand from a sample of minority patients the types of problems encountered during healing and the level of information regarding elements of postoperative instructions they recalled receiving at an inner-city safety net hospital. We initiated a qualitative study to understand the care sequence process and provision of informed consent and postoperative instruction. Methods-AfricanAmerican or Latino patients, 18 years of age or older, who had third molars removed under general anesthesia or received treatment for a mandibular fracture were recruited to participate in a focus group to discuss their treatment. Patients described their problem and any informed consent given about treatment risks and benefits and postoperative information they recalled.Results-A total of 137 former patients were approached, 57 agreed to participate (42%) and 34 of those (60%) completed the interview. Subjects included 14 females and 20 males. Five categories of patient problems were reported: physical, eating, treatment-related, psychosocial, and other problems. People reported 5 categories of coping strategies: medication use, physical treatments, dietary solutions, rest, and clinical assistance. Twenty people recalled being given The type and level of information that patients may require to make an informed decision in deciding specific treatment types is not well understood. Professional standards state that the health care provider must inform the patient about risks and benefits of each treatment. Nonetheless, the clinician struggles to succinctly and clearly present relevant information to a patient. 7Good communication is also critical in assisting patients to appropriately deal with postoperative management. Studies have shown that adequate postoperative education can improve patient satisfaction and reduce postsurgical morbidity. 8 Malins 5 pointed out that patients from ethnic minorities might need printed instructions in their native language and the services of an interpreter. Moreover, verbal or a combination of verbal and written instructions are preferred by most patients, particularly those with lower education. 3,4,6 However, without written reinforcement the understanding and retention of verbal instructions over a lengthy period of recovery cannot be assured.Alexander 3,9 stated that it is time for dental professionals, particularly those in the surgical specialties, to pay more attention to the phrasing, jargon, and terminology used in their postoperative instruction forms, as well as in their office brochures, informed consent forms, and the like. The purpose of this study was to elicit information from a minority sample about the types of problems encountered following oral surgery, the coping strategies they used to manage the problems, and the level of infor...

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“…14,15 Adequate patient education delivered after dental treatment demonstrated to improve patient satisfaction and decrease postoperative complains. 16,17 Such education includes delivery of postoperative ins tructions, medication instructions and advise on home care. Postoperative instructions can be given in verbal and/or written forms.…”

Section: Introductionmentioning

confidence: 99%

“…18 While the relative benefit of verbal or written instructions have not been clearly established. 16,18 Previous comparisons of the relative effi cacy of the various forms of postoperative instructions reported were common in the medical, pharmaceutical and nursing literature but the dental reports are rare. 19 The purpose of the present study was to assess the attitude and practice toward delivering of verbal postoperative instructions by undergraduates and trainees.…”

Section: Introductionmentioning

confidence: 99%