Preparation for elective colorectal surgery using a video: a questionnaire-based observational study

Abstract

ObjectiveEvery patient has a perception about surgery and psychological preparation of the patient has an important impact on their postoperative recovery and outcome. In this study we looked at impact of a visual educational aid, in the form of a patient DVD on outcome following colorectal surgery within an enhanced recovery programme (ERP).DesignWe carried out a prospective analysis of a consecutive series of patients undergoing elective colorectal resection. All patients were given information about their operation in a clinic setting. Our intervention included a 15 minute patient educational video describing the preoperative assessment, post-operative recovery and advice on discharge. A questionnaire on patients' views of ERP and video education was given on discharge.SettingUniversity teaching hospitalParticipantsPatients undergoing elective colorectal resectionMain Outcome MeasuresOutcomes studied included length of hospital stay, patient perception of ERP, postoperative complications and readmissions:ResultsThirty-two patients underwent elective colorectal surgery over a 3 month period. Median length of stay in hospital was 5 days. The questionnaire response rate was 100%. All patients thought they were well informed of the enhanced recovery programme. Eighty-eight percent responded that the video information provided about their operation was adequate, with 28% finding the video very helpful and more useful than other forms of patient information. There were no major postoperative complications and no readmissions.ConclusionAudiovisual presentation in the form of a patient video is a useful tool in the psychological preparation of patients undergoing colorectal surgery.

Patient education videos for elective colorectal surgery: results of a randomized controlled trial

“…On introduction of the video, we carried out an observational study where questionnaires were given to patients to study understanding and confidence levels on discharge from hospital on the use of a video for psychological preparation following colorectal surgery. We concluded that supplementing video education with both oral and printed information was better in preparing patients psychologically for surgery and helping improve short‐term outcomes in an enhanced recovery programme . However, this observational study was limited as surveying one's patients can lead to an overstated positive feedback.…”

“…Audiovisual presentation in the form of a video may be a useful tool in the psychological preparation of patients for surgery. We recently published results of a questionnaire‐based observational study on the use of video education, which showed it to be a better source of information than printed material . We concluded that supplementing video education with both oral and printed information is better in preparing patients psychologically for surgery and to help improve short‐term outcomes in an enhanced recovery programme.…”

Effects of video-assisted preanesthetic patient education on preanesthetic interview time; A prospective, single-blinded, randomized controlled trial

“…[ 10 ] Patients scheduled for elective colorectal surgery were shown videos about preoperative evaluation and postoperative recovery; they felt emotionally stable and motivated after watching the videos. [ 11 ] In pediatric outpatient surgery, when parents were educated about anesthesia using videos, the APAIS score significantly improved, and the level of knowledge about anesthesia also increased. [ 12 ] A video on preanesthetic education shown to Spanish patients in their native language significantly reduced anxiety compared to those who did not watch it.…”

Elaboração e validação de material audiovisual para conscientização de doadores de sangue

“…A seleção ou triagem de doadores é a maneira que se tem de buscar uma maior segurança transfusional e evitar uma transmissão de agente infeccioso dentro do período de janela imunológica, excluindo-se aqueles com fatores de risco para os agentes transmissíveis por transfusão e aqueles com sinais ou sintomas que possam denotar uma infecção. O vídeo tem sido utilizado como ferramenta de educação de pacientes, profissionais da saúde e de cuidadores, em situações tão variadas quanto a obtenção de consentimentos esclarecidos para cirurgias ou procedimentos médicos; para diminuir a ansiedade pré procedimentos cirúrgicos, invasivos ou clínicos; aumentar a aderência a tratamentos crônicos, como por exemplo a terapia antirretroviral em pacientes com SIDA; aumentar a satisfação com o atendimento; orientar o uso adequado de dispositivos e medicamentos, como no tratamento da asma e para modificar ou induzir comportamentos, como na captação de doadores de sangue e visando à mudança de estilo de vida em portadores de diabetes mellitus (SAMPAIO-SÁ, 2008;DYSON, 2010;CORBETT, 2000;LUCK, 1999;FRANCE, 2011;TORABI, 2000;KINNANE, 2008;THOMAS, 2000;IHEDIOHA, 2013;MORLEY, 2013;THOMAS, 1999;ARMSTRONG, 2010;LORENZO-RIVERO, 2012;IHEDIOHA, 2012;SCHOFIELD, 2008;SARASON, 1992;HAHN, 2005;HARRISON, 2001;CAREY, 2007).…”