Preoperative Needs‐Based Education to Reduce Anxiety, Increase Satisfaction, and Decrease Time Spent in Day Surgery: A Randomized Controlled Trial

Wongkietkachorn, Apinut; Wongkietkachorn, Nuttapone; Rhunsiri, Peera

doi:10.1007/s00268-017-4207-0

Cited by 78 publications

(61 citation statements)

References 45 publications

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“…It is challenging for a healthcare provider to meet patients’ expectations regarding the amount and type of information needed (Sibbern et al, 2017), since patients have different coping styles (Mitchell, 2000). Some patients want detailed information, while others prefer concise information (Wongkietkachorn et al, 2018). A recent randomized controlled trial attempted to address these differences by providing the intervention group with needs-based education, with different levels of information being assessed prior to the preoperative meeting with the physician.…”

Section: Introductionmentioning

confidence: 99%

“…none, concise, or detailed) was desired on a number of topics; the topics included were disease information, procedural detail, possible complications (this verbal information was mandatory), and patient behaviour (i.e. “What should I do?”) (Wongkietkachorn et al, 2018). The results showed that needs-based education significantly reduced patient anxiety and increased patient satisfaction both directly after the education and postoperatively.…”

Section: Introductionmentioning

confidence: 99%

“…The results showed that needs-based education significantly reduced patient anxiety and increased patient satisfaction both directly after the education and postoperatively. Needs-based information also reduced the time spent by the physician in educating the patients (Wongkietkachorn et al, 2018). This novel study shows that SDM can have an impact on patient satisfaction; however, this study was limited in that the sample only included patients undergoing day surgery under local anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review

2019

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The aim of healthcare services is to provide a high quality of care. One way to ensure that this aim has been fulfilled is to assess patients’ satisfaction with their care. Although satisfaction is a complex concept, it is an important outcome in perioperative care. The objective of this paper is to discuss and reflect on factors that can affect patients’ quality of postoperative recovery and satisfaction with recovery after day surgery. Involving patients in shared decision-making (SDM) and providing sufficient preoperative and postoperative information can improve their satisfaction. It is important to assess whether patients experience poor recovery, which can be both distressing and dissatisfying. We suggest that patients’ age, sex, mental health status, and health literacy (HL) skills should be assessed preoperatively, since these factors seem to have a negative impact on patients’ postoperative recovery. Identifying factors that have a negative impact on patients’ quality of postoperative recovery and satisfaction with recovery after day surgery will assist healthcare professionals in supporting vulnerable patients, such as those with limited HL and poor mental health. Treating patients with respect and dignity and providing SDM can increase their quality of postoperative recovery and satisfaction with recovery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review

2019

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“…The PILs included within this study consistently scored either good or excellent for details of shared decision-making (Q15). One of the challenges of providing individualized care in a shared decision-making context is that universal information may not convey the nuance required for an individual case (38,39). Future efforts in providing patient-centered information should be made within a biopsychosocial framework that recognizes dimensions other than the anatomy, pathology, and tissue-based recovery paradigms exemplified by biomedicine (40).…”

Section: Discussionmentioning

confidence: 99%

Patient Information Leaflets for Lumbar Spine Surgery: A Missed Opportunity

Low

Burgess

Wainwright

2019

Journal of Patient Experience

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Background: High-quality patient information is recommended to help reduce procedure-related anxiety and encourage patients to become active participants in their recovery. The objective of this study was to analyze the quality of patient information leaflets (PILs) given to National Health Service (NHS) patients ahead of lumbar spine surgery. Methods: The DISCERN tool was used to evaluate the quality of PILs, sourced from NHS websites. Results: Thirty-two PILs on lumbar surgery were included. Two (6%) leaflets were considered poor, 13 (41%) were marked as fair, 14 (44%) were of good quality, and 3 (9%) were scored as excellent. The total mean score was 55 (30-74), which corresponds to good quality. The lowest scoring questions were sources of information (Q4), balanced/unbiased content (Q6), and explanation of no treatment (Q12). Conclusions: There is considerable variation in the quality of PILs provided ahead of lumbar spine surgery. The scope for improvement is clear, and as the move toward patient-centered, evidence-based care continues, it is important that hospital resources provide recommendations based upon evidence of clinical effectiveness.

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“…Patient information provision has long been considered a key element of enhanced recovery pathways [50,51]. Patient perioperative experience and the psychological aspect may be improved with pre-admission counseling [52][53][54][55]. Psychopathology and patient expectations have been linked to poor results in spinal surgery with Cell saver techniques should be used in adolescents undergoing major corrective surgery.…”

Section: Preadmission Information Education and Counselingmentioning

confidence: 99%

Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components

et al. 2021

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Background Enhanced recovery in spinal surgery (ERSS) has shown promising improvements in clinical and economical outcomes. We have proposed an ERSS pathway based on available evidence. We aimed to delineate the clinical efficacy of individual pathway components in ERSS through a systematic narrative review. Methods We included systematic reviews and meta-analysis, randomized controlled trials, non-randomized controlled studies, and observational studies in adults and pediatric patients evaluating any one of the 22 pre-defined components. Our primary outcomes included all-cause mortality, morbidity outcomes (e.g., pulmonary, cardiac, renal, surgical complications), patient-reported outcomes and experiences (e.g., pain, quality of care experience), and health services outcomes (e.g., length of stay and costs). Following databases (1990 onwards) were searched: MEDLINE, EMBASE, and Cochrane Library (Cochrane Database of Systematic Reviews and CENTRAL). Two authors screened the citations, full-text articles, and extracted data. A narrative synthesis was provided. We constructed Evidence Profile (EP) tables for each component of the pathway, where appropriate information was available. Due to clinical and methodological heterogeneity, we did not conduct a meta-analyses. GRADE system was used to classify confidence in cumulative evidence for each component of the pathway. Results We identified 5423 relevant studies excluding duplicates as relating to the 22 pre-defined components of enhanced recovery in spinal surgery. We included 664 studies in the systematic review. We identified specific evidence within the context of spinal surgery for 14/22 proposed components. Evidence was summarized in EP tables where suitable. We performed thematic synthesis without EP for 6/22 elements. We identified appropriate societal guidelines for the remainder of the components. Conclusions We identified the following components with high quality of evidence as per GRADE system: pre-emptive analgesia, peri-operative blood conservation (antifibrinolytic use), surgical site preparation and antibiotic prophylaxis. There was moderate level of evidence for implementation of prehabilitation, minimally invasive surgery, multimodal perioperative analgesia, intravenous lignocaine and ketamine use as well as early mobilization. This review allows for the first formalized evidence-based unified protocol in the field of ERSS. Further studies validating the multimodal ERSS framework are essential to guide the future evolution of care in patients undergoing spinal surgery.

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Preoperative Needs‐Based Education to Reduce Anxiety, Increase Satisfaction, and Decrease Time Spent in Day Surgery: A Randomized Controlled Trial

Abstract: ClinicalTrials.gov, number NCT03003091.

Cited by 78 publications

References 45 publications

Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review

Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review

Patient Information Leaflets for Lumbar Spine Surgery: A Missed Opportunity

Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components

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