Effect of Multi-media Health Education on Nurses' Workload and Patient's Satisfaction

Study Overview
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Brief Summary
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Assessing whether multi-media health education reduce nurse workload and does not decrease the satisfaction of patients in surgical ward when admission.

Detailed Description
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Operation usually causes severe physical and mental stress to the patients, mainly because of fear and anxiety caused by patients worrying about the uncertainty about surgery, and finally affecting the patient's surgical efficacy and recovery. This is the main reason in terms of surgical nurse workload is much more than those internal medicine nurse. As a major part of nursing work, health education has especially important to patients. The quality and efficiency of health education directly affects the rehabilitation of patients. It can help patients correctly understand the relevant knowledge of disease and master the skills of recovery. At present, the health education in surgery department is mainly carried out by oral face-to-face communication and guidance from admission nurses. This kind of education method showed time-consuming and laborious.In addition, oral guidance is more reliable on nurse ability of expression and acknowledgement. Multimedia-based health education is an update mode combined with audio-visual stimulation and patients' own participation. Mobile terminal makes patient more acceptable, flexible, standardized in receiving the health education during hospitalization. This prospective study is aimed to assess whether multimedia-video education could reduce nurse workload and do not decrease the satisfaction of surgical patients.

Official Title
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If Muti-media Health Education Reduces the Workload of Nurses Without Affecting Patient's Satisfaction:a Perspective Randomized Controlled Trial

Conditions
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Health Education

Intervention / Treatment
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* Other: Multimedia video health education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients older than 18 years with general diseases and who need surgical treatment Primary school or above education history, with clear awareness, can cooperate with the collection of clinical data, and can communicate in Chinese Patients who signed the informed consent Exclusion Criteria: Patients with visual and hearing impairment Patients with mental illness, dementia and other mental disorders Patients with complications of heart, brain and nephropathy Patients who cannot take care of themselves Emergency and critically ill patients Patients participated other research

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multimedia video education<br>The experimental group conducted multimedia video education while admission. | Other: Multimedia video health education<br>* The experimental group conducted multimedia video education while admission.<br>|
| No Intervention: None multimedia video education<br>The control group conducted usual nursing of oral face-to-face education on admission. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nursing workload | Daily working hours for admission nurses on patients guidance on the first 24 hours in hospital, include the length of guidance time and the inquiry times. | 1 month | 
| The satisfaction of patients, family members, doctors and nurses about health education: Questionnaire | The questionnaires were designed by ourselves according to relevant research and literature, to quantify the level of satisfaction on admission health education for patients and family members, and also doctors and nurses . The patients and family members satisfaction questionnaire has 11 satisfaction questions, which scored on a scale of 1-5(one to five stars, one star represents unsatisfactory, five stars represent highly satisfactory). The scores range from 11-55. 11-21 Unsatisfactory 22-32 Not quite satisfactory 33-43 Generally satisfactory 44-55 Highly satisfactory The doctors and nurses satisfaction questionnaire has 15 satisfaction questions, which scored on a scale of 1-5(one to five stars, one star represents unsatisfactory, five stars represent highly satisfactory). The scores range from 15-75. 15-29 Unsatisfactory 30-44 Not quite satisfactory 45-59 Generally satisfactory 60-75 Highly satisfactory | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients' anxiety level before and after health education: Zung Self Rating Anxiety Scale（SAS） | The Zung Self-Rating Anxiety Scale (SAS) is an anxiety measure designed by William WK Zung to quantify the level of anxiety for patients experiencing anxiety related symptoms. The self-administered test has 20 questions. Each question is scored on a scale of 1-4 (none or a little of the time, some of the time, good part of the time, most of the time). There are fifteen questions worded toward increasing anxiety levels and five questions worded toward decreasing anxiety levels. The scores range from 20-80. 20-44 Normal Range 45-59 Mild to Moderate Anxiety Levels 60-74 Marked to Severe Anxiety Levels 75-80 Extreme Anxiety Levels | 1 month | 
| Inquiry times on health education content of patients family members | The exactly times of patient's family members ask nursing staff for health education content. | 1 month | 
| The times of patients and their family members watched the health education videos | The times of patients and their family members watched the health education videos. | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurse, Workload, Multimedia, Patients Satisfaction, Surgery, Health Education