Impact of educational intervention on understanding health recommendations after liver transplantation.
Josely Santana do Amorim, Angela Aparecida de Lima, Agnaldo Soares Lima
PMID 39082533WHAT IT FOUND
After liver transplant discharge, the nurse-delivered educational action, which added visual, auditory and tactile materials, did not produce a significant overall understanding difference at 15 days.
Only skin-care answers differed.
Key findings
01Overall understanding of discharge recommendations did not differ significantly between the intervention and control groups (p=0.399).
02The only recommendation item with a significant group difference was daily skin-care moisturizing (p=0.014), with more correct answers in the intervention group.
03Hand hygiene and behaviors to be avoided, such as crowds and contact with animals, had less than 10% correct answers overall.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The primary outcome, overall level of understanding at 15 days, showed no significant difference between groups. Follow-up was only 15 days after discharge, and the study did not report longer-term outcomes. The understanding questionnaire was prepared by the author, and the intervention material was not revalidated. Only the external evaluator was described as unaware of the educational actions and study objectives. The study included 68 first liver transplant recipients at two public hospitals in Belo Horizonte, so it may not apply to other settings or patients who were not eligible. The intervention included several educational components, so the contribution of any single component cannot be separated.
The easy way to misread this
Do not conclude that the added visual, auditory and tactile materials alone improve comprehension. The overall understanding outcome showed no significant difference between groups (p=0.399), and the study cannot separate the contribution of any single component of the educational action.