The tinnitus patient information pack: usefulness in intrusive tinnitus
Autor: | Aaron Trinidade, Amro Hassaan |
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Rok vydání: | 2019 |
Předmět: |
Clinical audit
Intrusiveness medicine.medical_specialty Outpatient Clinics Hospital 03 medical and health sciences Tinnitus 0302 clinical medicine Patient Education as Topic Patient information Intervention (counseling) medicine Humans 030212 general & internal medicine Prospective Studies business.industry 030503 health policy & services Health Policy Workload General Business Management and Accounting Tinnitus retraining therapy Physical therapy medicine.symptom 0305 other medical science business Patient education |
Zdroj: | International journal of health care quality assurance. 32(2) |
ISSN: | 0952-6862 |
Popis: | Purpose The purpose of this paper is to determine a tinnitus patient information pack’s (TPIP) usefulness in patients suffering with tinnitus with respect to their need for further tinnitus retraining therapy (TRT) and in reducing TRT cancellations and non-attenders. Design/methodology/approach The paper consists of prospective case series in a district general hospital ENT out-patient department. Findings Patients with tinnitus-related symptoms constitute around 2 per cent of the ENT OPD workload at the West Middlesex Hospital, Chelsea & Westminster NHS Trust, London, i.e., 365 patients with intrusive tinnitus were referred by the ENT surgeon for TRT; 56/365 patients (15.3 per cent) failed to attend and 60 (16.4 per cent) cancelled their appointments. The following year, a TPIP was administered to all tinnitus sufferers, despite the affliction’s intrusiveness, and told to contact the audiology department if they felt that TRT was required, which resulted in 43/233 patients (18.5 per cent) over a one-year period self-referring for TRT; 2/233 (0.9 per cent) did not attend, and 1/233 (0.4 per cent) were cancelled appointments. Practical implications The patient-focussed TPIP acts as an initial therapy for the tinnitus sufferer by providing reassurance and self-therapy. This results in patients who are less likely to seek TRT, leading to more efficient clinical resource usage (p Originality/value The data suggest that all tinnitus sufferers presenting to ENT clinics could be handed a TPIP and empowered with the decision whether they require further intervention. |
Databáze: | OpenAIRE |
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