The Efficacy of Patient Information Sheets in Wrist Arthroscopy: A Randomised Controlled Trial

Abstract

Purpose. To evaluate the effects of perioperative information for wrist arthroscopy on postoperative pain, return to daily activities, and patient satisfaction. Methods. 34 women and 21 men aged 19 to 54 (mean, 35) years underwent diagnostic wrist arthroscopy to explore the radiocarpal and midcarpal joints. They were randomised to receive specific preoperative information on the procedure (pictures of the wrist joint anatomy, portal entry sites, and the arthroscope) and written instructions on postoperative care (n=28) or only standard preoperative information and verbal instructions on postoperative care (n=27). The visual analogue score (VAS) for pain and the Quick Dash score for return to daily activities of each patient were recorded before and after wrist arthroscopy. Analgesic intake after wrist arthroscopy was recorded. Results. The mean post-arthroscopic VAS from days 2 to 6 was significantly lower in the experimental group than controls. This was reflected by the decrease 2011;19(1):85-8 in analgesic intake. The mean post-arthroscopic Quick Dash score was significantly lower in the experimental group than controls (40 vs. 47, p=0.02), indicating earlier return to daily activities. Conclusion. Patients who received specific preoperative information on the procedure and written instructions on postoperative care experienced less pain, consumed less analgesics, and had an earlier return to daily activities.

Preoperative Education in Cholecystectomy in the Context of a Multimodal Protocol of Perioperative Care: A Randomized, Controlled Trial

“…In agreement, one study of total knee arthroplasty found that patients who received preoperative education reported being satisfied or very satisfied after the surgery more often than did controls [19]. These findings are consistent with the results of other studies that reported a high degree of postoperative satisfaction with pain management through a continuous quality improvement effort [17, 22].…”

“…Hence, it has been used in a number of clinical trials [15, 16]. A recent randomized trial reported that preoperative information was associated with less pain, reduced consumption of analgesics, and earlier return to daily activities after wrist arthroplasty [17]. Pain is a multidimensional experience that requires a multidimensional approach that includes drug treatment as well as behavioral preparation [18].…”

Bare bones: Fundamentals of diagnostic wrist arthroscopy

“…Patient information leaflets, describing the procedure and postoperative care, may be useful in augmenting patient understanding, and also in reducing postoperative pain & facilitating earlier return to daily activities. 7…”

Effect of a Pre-Treatment Educational Video in Improving Patient Satisfaction with 5-Fluorouracil Treatment for Actinic Keratoses: A Randomized Controlled Trial

“…Makki and colleagues demonstrated that written postoperative instructions resulted in decreased discomfort, consumption of fewer analgesics and a more prompt resumption of regular activities [1]. In addition, studies have demonstrated that educational videos are beneficial in the improvement of melanoma awareness [2], promotion of sunscreen use [3] and facilitation of chronic disease management [4].…”