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Effects of preoperative education on spinal surgery patients

Ioannis Papanastassiou, MD,1 Roberta Anderson, RNC, ONC,2 Nicole Barber, RN, BSN,2 Cathleen Conover, RN, BSN,2 Antonio E. Castellvi, MD1
1Florida Orthopaedic Institute, Tampa, FL 2University Community Hospital, Carrollwood, Tampa, FL

Abstract 

Background

Preoperative patient education (PE) has been used by many institutions to deal with patient anxiety, pain control, and overall satisfaction. Although the literature suggests PE's effectiveness in joint reconstruction, data are missing in spinal surgery.

Methods

We retrospectively analyzed patients having elective spinal surgery who underwent PE (spine pre-care class) from October 2009 to March 2010. Of the 155 patients surveyed, 77 (49.7%) attended the class whereas 78 (50.3%) did not.

Results

Of the participants in the pre-care class, 96% were satisfied with their pain management versus 83% in the control group (P = .02). There was also a trend for better overall satisfaction in the pre-care class group (91% vs 85%; P > .05, multiple regression analysis). Elderly women tend to be less satisfied with pain management and overall treatment.

Conclusions

Implementation of PE has had a positive impact on patient satisfaction, especially in terms of pain management.

keywords: 
Preoperative patient education, Decreased postoperative pain
Volume 5 Issue 4
doi: 
10.1016/j.esas.2011.06.003