What do we tell patients about elective total hip replacement in the UK? An analysis of patient literature

BMC Musculoskeletal Disorders

Catherine Brewin³  Carol Coole¹  Claire Edwards¹  Avril Drummond² 

[1] Faculty of Medicine and Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham, UK;Faculty of Medicine and Health Sciences, University of Nottingham, A Floor, South link corridor, Queen’s Medical Centre (QMC), Nottingham, NG7 2UH, UK;Senior Occupational Therapist in Orthopaedics, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham, UK

关键词: Occupational therapy;    Patient information;    Hip restrictions;    Hip precautions;    Total hip replacement;   

Others  :  1132707
DOI  :  10.1186/1471-2474-14-152

 received in 2012-11-23, accepted in 2013-04-19,  发布年份 2013

【 摘 要 】

Background

Although hip information literature is given to people following total hip replacement (THR) almost routinely, little evaluation has been conducted on it to date. Our aim was therefore to analyse and evaluate the literature provided to patients by occupational therapists concerning elective hip surgery in the UK.

Methods

This was a pragmatic, descriptive analysis of information leaflets routinely given to patients undergoing primary total hip replacement (THR). The literature was collected as part of a national survey of occupational therapy practice. In the absence of a suitable evaluation tool, the patient leaflets were compared using a checklist devised by the researchers. The three areas of interest were: accessibility including presentation of information, breadth of information covered and specific activities of daily living described.

Results

111 information leaflets and booklets were examined. These ranged from hospital publications which were professionally printed to those produced by individual departments. There was a variation in the readability of the leaflets ranging from 13% to 83%; the mean was 45% (SD 15). There was also variation in the content ranging from those covering surgery and possible complications, to those including diet and hip exercises. The most commonly covered activity of daily living was advice on sitting (99; 89%); the least commonly covered was work (26; 23%). Only 3 (2.7%) booklets had involved patients in their production and only 22 (20%) signposted obtaining information in another language or in Braille.

Conclusions

There was a range of literature in terms of presentation and content given to people who had a total hip replacement (THR). Although some booklets and leaflets scored highly, some did not meet basic standards such as providing contact details for help, using good quality diagrams, suggesting further reading or involving patients in their design. These results highlight important and fundamental deficiencies in the literature routinely provided.

【 授权许可】

   
2013 Drummond et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]National Joint Registry for England and Wales: Eighth Annual Report. 2011. http://www.njrcentre.org.uk/NjrCentre/Portals/0/Documents/NJR%208th%20Annual%20Report%202011.pdf webcite (accessed September 2012)
• [2]Turner A, Foster M, Johnson SE: Occupational Therapy and Physical Dysfunction: Principles, Skills and Practice. Fifth edition. Edinburgh: Churchill Livingstone; 2002:633.
• [3]McMurray R, Heaton J, Sloper P, Nettledon S: Variations in the provision of occupational therapy for patients undergoing primary elective total hip replacement in the United kingdom. Br J Occup Ther 2000, 63(9):451-55.
• [4]Drummond A, Coole C, Brewin C, Sinclair E: Hip precautions following primary total hip replacement: a national survey of current occupational therapy practice. Br J Occup Ther 2012, 75(4):164-170.
• [5]Coulter A, Ellins J: Effectiveness of strategies for informing, educating, and involving patients. BMJ 2007, 335:24-27.
• [6]NHS Institute for Innovation and Improvement. http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/enhanced_recovery_programme.html webcite (accessed September 2012)
• [7]Griffin J, McKenna K, Tooth L: Discrepancy between older clients’ ability to read and comprehend and the reading level of written educational materials used by occupational therapists. Am J Occup Ther 2006, 60(1):70-80.
• [8]Lewis MA, Newton JT: An evaluation of the quality of commercially produced patient information leaflets. Br Dent J 2005, 201(2):114-117.
• [9]McDonald S, Hetrick S, Green S: Pre-operative education for hip or knee replacement. Cochrane Database Syst Rev 2004, 1:Art. No.: CD003526.
• [10]Johansson K, Nuutila L, Virtanen H, Katajisto J, Salanterae S: Pre-operative education for orthopaedic patients: systematic review. J Adv Nurs 2005, 50:212-223.
• [11]Johansson K, Salantera S, Katajisto J, Leino-Kilpi H: Written orthopedic education materials from the point of view of empowerment by education. Patient Education and Counselling 2004, 52:175-181.
• [12]National Audit Office: Hip Replacements: Getting it Right First Time. London: The Stationery Office; 2000.
• [13]National Audit Office: Hip Replacements: An Update. London: The Stationery Office; 2003.
• [14]Elwyn G, O’Connor A, Stacey D, Volk R, Edwards A, Coulter A: International Patient Decision Aids Standards (IPDAS) Collaboration. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process. Br Med J 2006, 333(7565):417-419.
• [15]Charnock D, Shepperd S, Needham G, Gann R: DISCERN: An instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 1999, 53:105-111.
• [16]Moult B, Franck LS, Brady H: Ensuring Quality Information for Patients: development and preliminary validation of a new instrument to improve the quality if written health care information. Heal Expect 2004, 7:165-175.
• [17]British Medical Association: Patient Information Award. http://bma.org.uk/about-the-bma/bma-library/patient-information-awards webcite (accessed September 2012)
• [18]Johnson A, Sandford J, Tyndall J: Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home. Cochrane Database Syst Rev 2003, 4:Art. No.: CD003716.
• [19]McPherson CJ, Higginson IJ, Hearn J: Effective methods of giving information in cancer: a systematic literature review of randomised controlled trials. Public Health Medicine 2001, 23:227-234.