Prevention of postsplenectomy sepsis: how much do patients know?

Hdl Handle:
http://hdl.handle.net/10147/209046
Title:
Prevention of postsplenectomy sepsis: how much do patients know?
Authors:
Hegarty, P K; Tan, B; O'Sullivan, R; Cronin, C C; Brady, M P
Affiliation:
Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland., Paulhego@hotmail.com
Citation:
Hematol J. 2000;1(5):357-9.
Journal:
The hematology journal : the official journal of the European Haematology, Association / EHA
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209046
DOI:
10.1038/sj/thj/6200056
PubMed ID:
11920213
Abstract:
INTRODUCTION: Asplenia causes a deficiency in immunity with a long-term risk of fulminant infection, associated with significant mortality. Patient compliance requires an understanding of risks of infection and its prevention. The impact of patient education has been little studied. MATERIALS AND METHODS: To ascertain the degree of knowledge held by patients who have undergone splenectomy, a comprehensive survey was designed. This also aimed to determine which group of health professionals was most successful in conveying information to patients. Patients who had undergone total splenectomy were interviewed by telephone, using a standardised list of questions to assess their understanding of the post-operation risks. RESULTS: Of 40 consecutive patients, 32.5% had a good knowledge of the risks of asplenia and their prevention, 52.5% had a fair knowledge and 15% a poor knowledge. Haematologists were most successful in initially conveying information to patients, and general practitioners also played a critical role in patient education. In this survey, it appears that surgeons were not effective at educating patients. CONCLUSION: Patient education postsplenectomy is poor. Measures to prevent infection in the asplenic patient are not being adequately implemented.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Child; Female; *Health Knowledge, Attitudes, Practice; Hematology; Humans; Immunocompromised Host; *Infection Control; Ireland; Male; Middle Aged; Patient Compliance; *Patient Education as Topic; Patients/*psychology; Physician-Patient Relations; Physicians, Family; Questionnaires; Risk; Splenectomy/*adverse effects/psychology
ISSN:
1466-4860 (Print); 1466-4860 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHegarty, P Ken_GB
dc.contributor.authorTan, Ben_GB
dc.contributor.authorO'Sullivan, Ren_GB
dc.contributor.authorCronin, C Cen_GB
dc.contributor.authorBrady, M Pen_GB
dc.date.accessioned2012-02-03T15:10:48Z-
dc.date.available2012-02-03T15:10:48Z-
dc.date.issued2012-02-03T15:10:48Z-
dc.identifier.citationHematol J. 2000;1(5):357-9.en_GB
dc.identifier.issn1466-4860 (Print)en_GB
dc.identifier.issn1466-4860 (Linking)en_GB
dc.identifier.pmid11920213en_GB
dc.identifier.doi10.1038/sj/thj/6200056en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209046-
dc.description.abstractINTRODUCTION: Asplenia causes a deficiency in immunity with a long-term risk of fulminant infection, associated with significant mortality. Patient compliance requires an understanding of risks of infection and its prevention. The impact of patient education has been little studied. MATERIALS AND METHODS: To ascertain the degree of knowledge held by patients who have undergone splenectomy, a comprehensive survey was designed. This also aimed to determine which group of health professionals was most successful in conveying information to patients. Patients who had undergone total splenectomy were interviewed by telephone, using a standardised list of questions to assess their understanding of the post-operation risks. RESULTS: Of 40 consecutive patients, 32.5% had a good knowledge of the risks of asplenia and their prevention, 52.5% had a fair knowledge and 15% a poor knowledge. Haematologists were most successful in initially conveying information to patients, and general practitioners also played a critical role in patient education. In this survey, it appears that surgeons were not effective at educating patients. CONCLUSION: Patient education postsplenectomy is poor. Measures to prevent infection in the asplenic patient are not being adequately implemented.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshChilden_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Health Knowledge, Attitudes, Practiceen_GB
dc.subject.meshHematologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshImmunocompromised Hosten_GB
dc.subject.mesh*Infection Controlen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPatient Complianceen_GB
dc.subject.mesh*Patient Education as Topicen_GB
dc.subject.meshPatients/*psychologyen_GB
dc.subject.meshPhysician-Patient Relationsen_GB
dc.subject.meshPhysicians, Familyen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshRisken_GB
dc.subject.meshSplenectomy/*adverse effects/psychologyen_GB
dc.titlePrevention of postsplenectomy sepsis: how much do patients know?en_GB
dc.contributor.departmentDepartment of Surgery, Cork University Hospital, Wilton, Cork, Ireland., Paulhego@hotmail.comen_GB
dc.identifier.journalThe hematology journal : the official journal of the European Haematology, Association / EHAen_GB
dc.description.provinceMunster-

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