Educational intervention in patients undergoing orthognathic surgery: Pilot study

Abstract

Objective: This study was to assess the feasibility of educational intervention nusing printed materials and the appropriateness of the instruments chosen to assess the efficacy of the intervention in patients undergoing orthognathic surgery. Methods: Nonrandomized pilot study was conducted with eight patients. In the preoperative period, an educational intervention using printed material and the application of instruments for data collection was carried out; in the postoperative period, only data collection was carried out. Friedman, Wilcoxon, McNemar and Rasch's statistical tests were applied in order to assess the variables and the instrument. Results: Significant findings with respect to trait anxiety (p = .016), lower difficulty of patients to perform oral hygiene (p = .008), mild pain (p = .025), and moderate pain (p = .046). For the knowledge test, Rasch analysis showed that the model did not fit, since easy questions were stacked in the lower limit of the map, which showed the need to reformulate some questions. Conclusions: The intervention was consistent, but it can only be confirmed as effective through a research with a control group. It was observed that the use of brochures could improve the management of the signs and symptoms experienced by the patients in the postoperative period.

Avaliação da efetividade da intervenção com material educativo em pacientes cirúrgicos: revisão integrativa da literatura

“…Em um estudo piloto não randomizado, os níveis de ansiedade traço reduziram após intervenção, demonstrando que ela foi consistente apesar da necessidade de confirmação da sua eficácia com grupo controle 29 .…”

Anxiety and knowledge of patients before being subjected to orthognathic surgery

“…The test of knowledge about the operation, which consisted of ten multiple-choice questions about the surgery and postoperative care, with a maximum score of ten, was developed by the researcher and validated by two professional perioperative nurses and applied to the patient preoperatively and postoperatively. This instrument was subjected to a pre-test in orthognathic surgery patients, and after psychometric analysis by Rasch's method, it was redesigned for application in the study population (10) .…”

Perioperative booklet for orthognathic patients: A randomized controlled clinical trial

“…After a psychometric analysis using the Rasch scoring method, it was redesigned for application in this study population. [11] Clinical assessment instrument was developed by the first researcher, validated by two surgeons, and pretested during the pilot study with 8 participants undergoing orthognathic surgery. [11] Consisted of checkbox present/absent, on 7 themes.…”

“…[11] Clinical assessment instrument was developed by the first researcher, validated by two surgeons, and pretested during the pilot study with 8 participants undergoing orthognathic surgery. [11] Consisted of checkbox present/absent, on 7 themes. Oral hygiene (halitosis, discolored gingiva, gingivitis, coated tongue, sutures with food residues, bacterial plaque, and difficulty of performing oral hygiene).…”