title: Ambulatory orthopaedic surgery patients' knowledge with internet-based education.
abstract: BACKGROUND
  There is a growing need for patient education and an evaluation of its outcomes.
  
  
  OBJECTIVE
  The aim of this study was to compare ambulatory orthopaedic surgery patients' knowledge with Internet-based education and face-to-face education with a nurse. The following hypothesis was proposed: Internet-based patient education (experiment) is as effective as face-to-face education with a nurse (control) in increasing patients' level of knowledge and sufficiency of knowledge. In addition, the correlations of demographic variables were tested.
  
  
  METHODS
  The patients were randomized to either an experiment group (n = 72) or a control group (n = 75). Empirical data were collected with two instruments.
  
  
  RESULTS
  Patients in both groups showed improvement in their knowledge during their care. Patients in the experiment group improved their knowledge level significantly more in total than those patients in the control group. There were no differences in patients' sufficiency of knowledge between the groups. Knowledge was correlated especially with patients' age, gender and earlier ambulatory surgeries.
  
  
  CONCLUSIONS
  As a conclusion, positive results concerning patients' knowledge could be achieved with the Internet-based education. The Internet is a viable method in ambulatory care.
authors.affiliation: Department of Nursing Science, University of Turku, Vanhalinna, Finland. katja.heikkinen@utu.fi
authors.forename: Katja
authors.initials: K
authors.lastname: Heikkinen
authors.forename: H
authors.initials: H
authors.lastname: Leino-Kilpi
authors.forename: S
authors.initials: S
authors.lastname: Salanterä
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000379:methods*; D016009:Chi-Square Distribution; D004521:Educational Measurement / Q000379:methods; D004522:Educational Status; D036262:Empirical Research; D005387:Finland; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D020407:Internet; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D009985:Orthopedics / Q000379:methods*; D010353:Patient Education as Topic; D013223:Statistics as Topic; D055815:Young Adult