Role of Patient Information Handouts Following Operative Treatment of Ankle Fractures: A Prospective Randomized Study

被引:12
作者
Mayich, D. Joshua [1 ]
Tieszer, Christina [2 ]
Lawendy, Abdel [2 ]
McCormick, William [2 ]
Sanders, David [2 ]
机构
[1] Univ Toronto, Toronto, ON M5C 1R6, Canada
[2] London Hlth Sci Ctr, London, ON, Canada
关键词
patient satisfaction; patient information; pamphlet; ankle fracture; handout; CAST;
D O I
10.1177/1071100712460229
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Widespread evidence exists for directed patient information interventions (eg, pamphlets) in the setting of several orthopaedic conditions and interventions. Up until now, no study had assessed the role of these interventions in the management of patients following ankle fractures. Methods: Between 2005 and 2007, 40 patients who suffered an operative ankle fracture were randomized to either a standard treatment group for an ankle fracture or an enhanced information group who received an American Academy of Orthopaedic Surgeons ankle fracture information pamphlet that explained postoperative routine at our institution and a physiotherapy handout depicting a standard protocol. Study participants were followed for 3 months clinically and radiographically. At the 6-week and 3-month intervals, study participants completed the Olerud-Molander Questionnaire and 2 questions regarding their level of satisfaction. The primary outcome measure was the Likert-scale-based survey question determining the level of satisfaction with the treating staff. Results: Participants in the enhanced information group were more satisfied with treatment at 3 months (9.2 vs 6.3; P < .001). There were significant improvements in work/activity ability at 6 weeks (P = .01), but this advantage disappeared at 3 months (P = .24). No differences in postoperative complication rates were noted. Conclusions: Information enhancement in the form of pamphlets can be helpful in providing patients with accessible information in the postoperative period. While they do not seem to have a sustained impact on postoperative outcomes, handouts may enhance the interaction between staff and patient at postoperative visits, improving patient satisfaction. Level of Evidence: Level I, appropriately powered randomized prospective cohort study.
引用
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页码:2 / 7
页数:6
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