Patient education outcomes in surgery: a systematic review from 2004 to 2010
Abstract
RATIONALE AND OBJECTIVES: In 2004, Johansson and colleagues, in their systematic review covering the years 1990-2003, documented education interventions and their effectiveness in the treatment of surgical patients. While they provide a review of the state of knowledge until 2003, recent trends in preoperative education and its effects on postoperative patients' outcomes have not been documented in a systematic review. The aim of this study was to describe preoperative educational interventions (including content and delivery time) and postoperative outcomes as considered in studies evaluating the effectiveness for patients undergoing major surgery published from 2004 to 2010. METHODS: A systematic review of preoperative education and its effects on postoperative patient outcomes was undertaken. A search was conducted of the PubMed, CINAHL and EBMR databases, including the Cochrane Central Register of Controlled Trials. Randomised controlled trials, or at least clinical trials including pre-/post-test evaluations, with educational interventions performed by nurses preoperatively and outcomes evaluated postoperatively, and written in English, were included. RESULTS: A total of 19 studies involving 3944 patients were retrieved. Of these, 12 were randomised controlled trials. Interventions were based on verbal education, on written/visual education, or both. The content of interventions varied widely. Frequent outcomes evaluated were anxiety, knowledge, pain and length of stay. Objective knowledge (what a patient retains from education) was the only positive outcome influenced by education. CONCLUSIONS: Current trends in preoperative education are: scheduling education early; increased frequency of message exposure through several interventions and/or reinforcements; content frequently addressing postoperative management; the measurement of outcomes such as patients' cognitive, experiential and biophysiological aspects. Both the clinical and research implications that emerged from the findings are discussed.
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Preoperative education can help patients and families cope with stress, alleviate anxiety, increase self-efficacy, and support postoperative recovery activities.
“Studies have shown that preoperative education could help patients and families cope with the stressful events, alleviate anxiety, increase self-efficacy, and support postoperative recovery activities.6”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [6]
Most evidence on preoperative education has focused on general surgery.
“However, most of the evidence focused on general surgery.6, 7”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [6]
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Management of urologic prosthetic reservoirs at the time of inguinal or pelvic surgery
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- Authors
- Ronco, M., Iona, L., Fabbro, C., Bulfone, G., & Palese, A.
- Affiliations
- University of Udine (IT)
- Corresponding author
- Palese, Alvisa
- Venue
- International Journal of Evidence-Based Healthcare
- Published
- 2012-12
- Volume
- 10
- Issue
- 4
- Pages
- 309-323
- ISSN
- 1744-1595 (ISSN-L)
- OpenAlex
- W2065951578
- Cited by
- 123
- References
- 36
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 11 · 2023: 11 · 2022: 9 · 2021: 9 · 2020: 9 · 2019: 11 · 2018: 12 · 2017: 13 · 2016: 9 · 2015: 10 · 2014: 6 · 2013: 5
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Evidence-Based Healthcare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Keywords
- preoperative patient education, surgical patients, postoperative outcomes, patient knowledge, postoperative anxiety, postoperative pain, length of hospital stay, major surgery
- MeSH terms
- Female, Humans, Male, Middle Aged, Patient Education as Topic, Preoperative Care, General Surgery, Treatment Outcome
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