惠普尔手术患者教育材料的导航：可读性和可理解性分析

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-04-23 DOI:10.1016/j.amjsurg.2025.116353

Gabriela Rangel Brandao , Cristina Ponce , Manuel Castillo-Angeles , Tara Sotsky Kent

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引用次数: 0

摘要

目的胰十二指肠切除术（PD）是一项复杂的外科手术，具有挑战性。我们的目的是评估在线PD患者指导材料的可读性、可理解性和可操作性。方法：我们评估以患者为中心的PD在线教育材料。通过“胰腺癌切除术”的Leapfrog评分，我们对高容量（HV）和低容量（LV）医院进行了分类。使用多种工具测量可读性。使用可打印材料患者教育材料评估工具（PEMAT-P）测量可理解性和可操作性。作为比较的外部控制源，我们分析了来自三个以患者为中心的组织的患者材料。结果550家hiv医院中，有PD患者在线教育资料的占10%。可读性中位等级水平为12 （IQR 4）。所有的都超过了推荐的六年级阅读水平。仅关注PD的网站的可理解性和可操作性得分明显高于那些手术只是胰腺癌等更广泛主题中的一个部分的网站。HV组、LV组和对照组在可读性、可理解性和可操作性方面没有差异。结论网上PD患者资料少、长、难理解。然而，它们的可理解性对于提供患者教育至关重要。需要用清晰的指导、视觉效果和简单的语言简化患者材料，并进行以策略为重点的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Navigating the Whipple procedure patient educational materials: A readability and understandability analysis

Objective

Pancreatoduodenectomy (PD) is a complex surgical procedure that is challenging to understand. We aimed to assess the readability, understandability, and actionability of online patient-directed materials for PD.

Methods

We evaluated online patient-focused educational materials about PD. Through the Leapfrog ratings for “Pancreatic Resection for Cancer” we classified high-volume (HV) and low-volume (LV) hospitals. Readability was measured using multiple tools. Understandability and actionability were measured using the Patient Education Materials Assessment Tool for Printable materials (PEMAT-P). As an external control source of comparison, we analyzed the patient materials from three patient-focused organizations.

Results

Out of 550 HV hospitals, 10 % had any online patient educational material about PD. Readability was at a median grade level of 12 (IQR 4). All exceeded the recommended sixth-grade readability level. Websites solely focused on PD had significantly higher understandability and actionability scores compared to those where the procedure was only a section within a broader topic such as pancreatic cancer. There was no difference in readability, understandability, or actionability among HV, LV and control groups.

Conclusions

Online patient materials for PD were scarce, lengthy and difficult to comprehend. However, their understandability is crucial for providing patient education. Simplification of patient materials with clear guidance, visuals, and simple language, and strategies-focused research are needed.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.