Role of Patient Information Handouts Following Operative Treatment of Ankle Fractures

Abstract

Level I, appropriately powered randomized prospective cohort study.

The Use of Adjunct Psychosocial Interventions Can Decrease Postoperative Pain and Improve the Quality of Clinical Care in Orthopedic Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…As shown in Fig 1, 89 research reports fit the inclusion criteria. [1][2][3][4]6,7,9,12,[15][16][17][19][20][21]24,25,27,29,32,[34][35][36][37][39][40][41][42][43]47,[49][50][51][52][53][54][55]57,58,60,67,71,73,75,77,78,90,[92][93][94]97,98,[100][101][102][103][104][105][106]…”

Using multimedia to enhance the consent process for bunion correction surgery

“…The relationship between improved preoperative patient education and increased patient satisfaction following surgery has not been studied extensively when using multimedia as an educational adjunct. In a recent randomized controlled trial focusing on the role of patient information handouts on satisfaction following operative treatment of ankle fractures, participants that received the information handout were more satisfied with treatment at 3 months post‐operatively . In the knee replacement population, a recent review illustrated a positive correlation between post‐operative satisfaction and how well post‐operative expectations were met after surgery .…”

Patient Education May Improve Perioperative Safety

“…Despite a lack of precise insight into the intensity of education and extent of participation of patients, we do know that the educational interventions were given by health care workers in a structured way and patients had the opportunity to practice the exercises, and proceedings were learned under supervision of an expert. Just providing patients with information sheets, without further explanation, does not seem to increase patient safety [20] .…”

“…Explanations provided for the ineffectiveness of interventions vary and include a possible lack of compliance with the given recommendations [20] , inexperienced staff [20] , cultural differences where the physician is expected to make the decisions [29] and inappropriate timing of applying the intervention example the day before surgery, when patients are too apprehensive to listen [29] . One study [26] showed an unexpected significant decrease in perioperative safety, but this effect may be attributed to a higher ASA-score in the intervention group.…”

“…In most studies education was given in a more or less structured manner, example by providing an educational class or a private session. In one study an additional information package was provided containing two educational handouts [20] .…”