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J Clin Nurs. 2010 Nov;19(21-22):2980-8. doi: 10.1111/j.1365-2702.2010.03347.x.

Pre-admission education in surgical rheumatology nursing: towards greater patient empowerment.

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1
University of Turku, Department of Nursing Science, Turku, Finland. kimajo@utu.fi

Abstract

AIMS AND OBJECTIVES:

This study compared the pre-admission education received by two groups of rheumatoid arthritis (RA) patients scheduled for hip arthroplasty. The specific aim was to compare these patients' knowledge about care-related issues and sense of certainty about that knowledge, empowering learning experience, length of admission discussion, length of hospital stay and number of health problems.

BACKGROUND:

Previous studies have shown that surgical pre-admission education is beneficial, but there is no evidence on the relative effectiveness of different methods of education.

DESIGN:

We used a pre-post-test design with two groups of surgical RA patients (Group I pre-admission education via telephone and standard written educational material, n = 29; Group II standard written educational material, n = 30).

METHODS:

The data were collected with previously used instruments (OPKQ, MEQ), and demographic and clinical variables were asked.

RESULTS:

The mean score for knowledge about care-related issues and sense of certainty about that knowledge for Group I and for Group II showed no statistically significant differences at baseline and at admission. At discharge, however, a significant difference was seen between the scores--in favour of Group II. On the other hand, patients in Group I were found to be more empowered in all areas than patients in Group II.

CONCLUSIONS:

Written educational material seems to be a good choice for pre-admission patient education compared with telephone counselling, particularly when patients are knowledgeable about care-related issues before admission. However, education via telephone is experienced by patients as more empowering than written educational material.

RELEVANCE TO CLINICAL PRACTICE:

To increase patient's knowledge written educational material can be recommended for use, but to increase patient's empowerment telephone education is better.

[Indexed for MEDLINE]

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