A patient education program is cost-effective for preventing failure of endoscopic procedures in a gastroenterology department

被引:121
作者
Abuksis, G
Mor, M
Segal, N
Shemesh, I
Morad, I
Plaut, S
Weiss, E
Sulkes, J
Fraser, G
Niv, Y
机构
[1] Rabin Med Ctr, Dept Gastroenterol, Petach Tikva, Israel
[2] Tel Aviv Univ, Dept Gastroenterol, IL-69978 Tel Aviv, Israel
关键词
D O I
10.1016/S0002-9270(01)02435-2
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
OBJECTIVE: The growing use and complexity of endoscopy procedures in GI units has increased the need for good patient preparation. Earlier studies in this area have focused on the psychological benefits of patient education programs. The present study was directed at determining cost-effectiveness of a patient education program. METHODS: A prospective, randomized, controlled design was used. The patient population consisted of 142 patients aged 18-90 yr referred for an endoscopy procedure. Ninety-one (64%) participated in a targeted educational session conducted by a dedicated departmental nurse (group 1), 38 (27%) did not (group 2), and 13 (9%) received telephonic instruction (group 3). Before the endoscopy, all patients completed a questionnaire covering background data, endoscopy-related variables, anxiety level, and satisfaction. Patient cooperation and success/failure of the procedure were documented by the attending nurse. RESULTS: Male gender, previous endoscopy, and explanation from the referring physician were associated with a low level of anxiety (p < 0.05). There was a significant association between attendance in the education program and success of the endoscopy (p = 0.0009). Cancellations of procedures because of poor preparation occurred in 4.39% of group 1 in comparison with 26.31% and 15.38% of groups 2 and 3, respectively (p = 0.005). The overall cost of the procedure was reduced by 8.6%, 8.9%, and 5.5% for gastroscopy, colonoscopy, and sigmoidoscopy, respectively. All participants expressed satisfaction with the brochure. CONCLUSION: A pre-endoscopy patient education program apparently increase patient compliance, thereby decreasing both the need for repeated examinations and their attendant costs. (C) 2001 by Am. Cell. of Gastroenterology.
引用
收藏
页码:1786 / 1790
页数:5
相关论文
共 21 条
[1]  
AABAKKEN L, 1997, ENDOSCOPY, V29, P16
[2]  
Abbott S A, 1998, Gastroenterol Nurs, V21, P207, DOI 10.1097/00001610-199809000-00003
[3]  
Bartlett EE, 1996, PATIENT EDUC COUNS, V27, P279
[4]  
Bourie P Q, 1993, Nurs Manage, V24, P46
[5]   Are we telling patients enough? A pilot study to assess patient information needs in a gastroenterology outpatient department [J].
Eaden, JA ;
Ward, B ;
Smith, H ;
Mayberry, JF .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1998, 10 (01) :63-67
[6]   Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial [J].
Luck, A ;
Pearson, S ;
Maddern, G ;
Hewett, P .
LANCET, 1999, 354 (9195) :2032-2035
[7]   Predictors of patient cooperation during gastrointestinal endoscopy [J].
Mahajan, RJ ;
Johnson, JC ;
Marshall, JB .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1997, 24 (04) :220-223
[8]  
Mahajan RJ, 1996, AM J GASTROENTEROL, V91, P2505
[9]  
Mayberry JF, 1996, J ROY COLL PHYS LOND, V30, P205
[10]  
MCCLUNG HJ, 1998, PEDIATRICS, V10, P101