视频出院指导增加患者对办公室程序的理解:一项随机对照研究。

IF 1.9 3区 医学 Q4 ANDROLOGY
Translational andrology and urology Pub Date : 2025-03-30 Epub Date: 2025-03-26 DOI:10.21037/tau-24-501
Jenna Bates Maffei, Jeffrey J Song, Gal Saffati, Mohit Khera
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引用次数: 0

摘要

背景:健康素养显著影响医疗结果,低素养导致更差的生活质量、更高的死亡率和更高的再入院率。最近改善接触后教育的努力包括结构化的反馈方法、患者偏好评估和标准化的出院指示。急诊科的研究表明,结合视频出院说明可以提高患者对护理信息的理解和保留。为了解决泌尿外科的差距,本研究旨在评估患者对临床输精管结扎手术后视频出院说明的理解和满意度。方法:我们进行了一项机构审查委员会批准(#H-51614)的非盲随机对照研究,并获得了每位参与者的书面同意。所有于2022年8月至9月在我们门诊接受输精管切除术的男性都被纳入我们的研究。患者随机接受视频或书面出院指示。一份标准化的调查问卷包含了关于他们收到的出院指示的客观理解问题。同时询问患者对出院指导格式的偏好,以及信息有用性和格式可理解性的主观李克特量表。结果:每个队列包含11名男性。两组患者的年龄和受教育程度无差异(P分别为0.91、0.38)。视频组表现出更高的理解分数(p结论:使用视频出院指令显著提高了客观理解,具有相似的信息有用性和可理解性感知。接受视频出院指示的患者比接受书面指示的患者更倾向于同时接受书面和视频指示。总之,这些发现支持视频出院指导在泌尿科的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Video discharge instructions increase patient understanding for office-based procedures: a randomized controlled study.

Background: Health literacy significantly influences healthcare outcomes, with poor literacy leading to worse quality of life, increased mortality, and higher readmission rates. Recent efforts to improve post-encounter education include structured teach-back methods, patient preference assessments, and standardized discharge instructions. Studies in emergency departments have shown that incorporating video discharge instructions enhances patient understanding and retention of care information. To address the gap in urology, this study aims to evaluate patient comprehension and satisfaction with video discharge instructions following clinic-based vasectomy procedures.

Methods: We performed an Institutional Review Board approved (#H-51614) unblinded randomized controlled study with written consent from each participant. All men undergoing vasectomy from August to September 2022 in our outpatient clinic were included in our study. Patients were randomized to receive either video or written discharge instructions. A standardized questionnaire was administered containing objective comprehension questions regarding the discharge instructions they received. Patients were also queried on their preference of discharge instruction format and subjective Likert-scale of information usefulness and format understandability.

Results: Each cohort contained 11 men. There was no difference in age or educational level between the groups (P=0.91, 0.38, respectively). The video cohort exhibited increased comprehension scores (P<0.001). There was no difference between cohorts in ratings of information helpfulness and instruction understandability (P=0.48, 0.06, respectively). Approximately 73% of men in the video group preferred to receive both video and written instructions while 73% patients in the written cohort preferred to receive only written instructions (P<0.001).

Conclusions: Use of video discharge instructions significantly improved objective comprehension with similar perceptions of information helpfulness and understandability. Patients who received video discharge instructions were more likely to prefer receiving both written and video instructions than those who received written instructions. Overall, these findings support the utility of video discharge instructions in a urologic setting.

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来源期刊
CiteScore
4.10
自引率
5.00%
发文量
80
期刊介绍: ranslational Andrology and Urology (Print ISSN 2223-4683; Online ISSN 2223-4691; Transl Androl Urol; TAU) is an open access, peer-reviewed, bi-monthly journal (quarterly published from Mar.2012 - Dec. 2014). The main focus of the journal is to describe new findings in the field of translational research of Andrology and Urology, provides current and practical information on basic research and clinical investigations of Andrology and Urology. Specific areas of interest include, but not limited to, molecular study, pathology, biology and technical advances related to andrology and urology. Topics cover range from evaluation, prevention, diagnosis, therapy, prognosis, rehabilitation and future challenges to urology and andrology. Contributions pertinent to urology and andrology are also included from related fields such as public health, basic sciences, education, sociology, and nursing.
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