Video education provides effective wound care instruction pre- or post-mohs micrographic surgery.
| Autor: | Van Acker MM; Michigan State University College of Osteopathic Medicine, East Lansing, Michigan., Kuriata MA; Lakeland Regional Medical Center, Saint Joseph, Michigan. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of clinical and aesthetic dermatology [J Clin Aesthet Dermatol] 2014 Apr; Vol. 7 (4), pp. 43-7. |
| Abstrakt: | Objective: The objective of this study was to determine if delivery of wound care instruction pre-Mohs micrographic surgery versus the typical, post-Mohs surgery would allow for greater patient retention. Design: A non-blinded, randomized, controlled trial receiving institutional review board exemption from Michigan State University was conducted over a three-month period. Patients scheduled for Mohs surgery on 13 selected days were randomized into pre- versus post-procedure groups to receive wound care education. Setting: This study was conducted at a dermatology practice in Saint Joseph, Michigan. Participants: Fifty cognitive and literate patients greater than 18 years of age were evaluated in this study. Measurements: PARTICIPANTS' ability to recall instructions delivered by a Mohs surgeon in the form of digital media was assessed by a 10-question, multiple-choice exam. Additional analyses were conducted on patient's disposition around medical professionals, past experience with Mohs surgery, preference for digital media versus human instruction, and desire for home access. Results: Pre- (n=24; score=77±14%) versus post-(n=26; 83±11%) procedure education displayed no significant difference (p=0.13) in overall questionnaire performance. Seventy-four percent of participants preferred video delivery as opposed to provider instruction. Thirty-four percent reported being intimidated by healthcare workers. Participant performance showed no significant change (p=0.78) with previous exposure (79±19%) to Mohs surgery versus a first-time encounter (80±11%). Conclusion: Video education prior to or post-Mohs surgery serves as an effective mechanism for patient education and improvement of time management in clinical practice. |
| Databáze: | MEDLINE |
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