Developing Strategies for Targeted Improvement of Perioperative Education for Postbariatric Surgery Body-Contouring Patients.
Developing Strategies for Targeted Improvement of Perioperative Education for Postbariatric Surgery Body-Contouring Patients.
复制标题
DOI：
10.1097/sap.0000000000002471
复制
发表时间：
2021-04-01
影响因子：
1.5
通讯作者：
Cederna, Paul S.
中科院分区：
文献类型：
--
作者：
Cho, Hoyune E.;Huynh, Kristine A.;Corriere, Matthew A.;Chung, Kevin C.;Cederna, Paul S.
关键词：
围手术期患者教育的质量影响手术结果、患者体验以及解决患者问题和计划外访视所需的资源。我们检查了患者询问和教育材料，以评估围手术期教育的质量，并确定减肥手术后身体塑形程序的有针对性的改进领域。我们在一个学术中心检查了100个连续的减肥后手术。通过定性分析确定围手术期患者生成的电话、电子邮件和电子病历门户消息的主题。使用患者教育材料评估工具（PEMAT）评估围手术期教育资源的可理解性和可操作性。在识别的212例通信中，167例（79%）为术后通信。常见的主题是关于手术部位（38%），药物（10%）和活动限制（10%）的问题。130例询问通过患者再教育解决（57%），但36例（16%）需要亲自评估，包括4例计划外急诊科访视和3例因医疗机构问题再次入院。机构材料的PEMAT分数在可理解性（69%）和可操作性（60%）方面是公平的。美国整形外科医师协会的材料更容易理解（84%），但不太可操作（40%）。患者查询可以作为定性数据的来源，以确定围手术期教育的差距。高收益的主题，如关于手术部位和药物的教育，可以通过更好的沟通来提高质量，并可能减少不必要的访问次数。使用PEMAT，我们还确定了如何直接修改教材。改善围手术期教育可以促进患者和外科医生之间的相互理解，更好的结果和有效的资源利用。
The quality of perioperative patient education impacts surgical outcomes, patient experiences, and resources needed to address patient concerns and unplanned visits. We examined patient inquiries and education materials to assess the quality of perioperative education and identify areas of targeted improvement for post-bariatric surgery body contouring procedures. We examined 100 consecutive post-bariatric procedures at an academic center. Themes of patient-generated calls, emails, and electronic medical record portal messages during the perioperative period were identified via qualitative analysis. Understandability and actionability of perioperative educational resources were assessed using the Patient Education Materials Assessment Tool (PEMAT). Among 212 communications identified, 167 (79%) were postoperative. Common themes were concerns regarding the surgical site (38%), medications (10%), and activity restrictions (10%). 130 inquiries were resolved through patient re-education (57%) but 36 (16%) required in-person evaluation including 4 unplanned emergency department visits and 3 readmissions for surgical-site concerns. PEMAT scores for institutional materials were fair for understandability (69%) and actionability (60%). American Society of Plastic Surgeons materials were more understandable (84%) but less actionable (40%). Patient queries can be leveraged as a source of qualitative data to identify gaps in perioperative education. High-yield topics, such as education regarding the surgical site and medications, can be targeted for quality improvement through better communication and potentially reduce the number of unnecessary visits. Using the PEMAT, we also identified how directly the education materials can be revised. Improving perioperative education can promote mutual understanding between patients and surgeons, better outcomes, and efficient resource utilization.