多元通訊策略應用於眼科手術住院通知與圍手術期資訊傳遞

Multimodal Communication Strategies in Admission Notifications and Perioperative Information Delivery for Ophthalmic Surgery

手術安全是病人安全的重要核心，術前準備完整度直接影響手術品質。傳統電話通知常因漏接、訊息失真及無法重複查閱，導致準備不足。本研究評估結合LINE、簡訊（short message service，SMS）與QR Code，並搭配多媒體衛教的多元通訊策略，應用於眼科病人住院通知及圍手術期資訊傳遞之成效，並與電話通知比較。本研究採隨機分組，共納入100位病人，分為實驗組（多元通訊）與對照組（電話通知），評估指標包括術前準備完整率、焦慮程度、滿意度及人力時間成本。結果顯示，實驗組準備完整率達100%，顯著高於對照組60%；焦慮分數顯著降低（1.8分vs 6.4分）；滿意度提升（96分vs 74分）；人力時間成本由6.5分鐘／人降至0.8分鐘／人，節省88%，差異均具統計顯著性（p < 0.001）。研究證實，多元通訊策略能提升術前準備與病人安全，降低焦慮並減輕人力負荷，具實務推廣價值，建議作為醫療機構優化溝通流程之參考模式。

Surgical safety is a critical component of patient safety, and the completeness of preoperative preparation directly influences surgical quality. Traditional telephone notifications are often hindered by missed calls, message distortion, and the inability to review information, which may result in inadequate preparation. This study evaluated the effectiveness of a multimodal communication strategy—combining LINE, short message service, and QR codes with multimedia patient education—implemented for inpatient notifications and perioperative information delivery in ophthalmology patients, compared with conventional telephone notifications. A randomized controlled design was adopted, enrolling 100 patients assigned to either the experimental group (multimodal communication) or the control group (telephone notification). Outcome measures included the completeness of preoperative preparation, anxiety levels, satisfaction, and staff time costs. Results showed that the experimental group achieved a 100% preparation completeness rate, significantly higher than the control group’s 60%. Anxiety scores were markedly lower in the experimental group (1.8 vs. 6.4), and satisfaction scores were substantially higher (96 vs. 74). Staff time costs per patient decreased from 6.5 minutes to 0.8 minutes, representing an 88% savings. All differences were statistically significant (p < 0.001). This study demonstrates that a multimodal communication strategy can enhance preoperative preparation and patient safety, reduce anxiety, and alleviate staff workload. The approach offers strong practical value and may serve as a reference model for healthcare institutions seeking to optimize communication processes.