Evidence map›Paper›PMID 41489831›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Evaluation of cartoon visuals versus traditional nursing instruction for patients after degenerative disc herniation surgery: A randomized controlled trial.

Po-Fen Hsieh, Chun-Jung Lin, Cheng-You Lu, Kuan-Yu Lin

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Po-Fen Hsiehnursing, Feng Yuan Hospital, Taichung, Taiwan.
Chun-Jung LinDepartment of Computer Science and Information Engineering, National Chin-Yi, Taichung, Taiwan.
Cheng-You LuDepartment of Post‑Baccalaureate Medicine, National Chung Hsing, Taichung, Taiwan.
Kuan-Yu LinDepartment of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan. 107651@ctust.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to incorporate cartoon visuals into nursing instructions for degenerative disc herniation surgery and test whether cartoon visuals in preoperative nursing instructions can help improve patients ' knowledge, satisfaction, and anxiety during hospitalization. METHODOLOGY: The experimental study was conducted from January to June 2024 and involved 84 patients undergoing surgery for degenerative disc herniation. Participants were randomly assigned by computer into two groups, and preoperative and postoperative tests were conducted to understand the patients' anxiety, self-care knowledge, and satisfaction: the "traditional group" received standard paper-based nursing instructions, while the "experimental group" received cartoon visual nursing instructions.

resultsThe study results were statistically significant differences in self-care knowledge (P = .02) and satisfaction (p < .001) among the experimental and traditional groups. There were no statistical differences in situational and trait anxiety, but the experimental group scores decreased. Another unexpected finding was a statistically significant difference (P = .02) in the experimental group, where the number of days of hospital stay was lower than that in the traditional group.

conclusionThis study showed patients could improve their self-knowledge, reduce situational anxiety, increase satisfaction through cartoon visuals, and reduce the number of hospitalized days. Therefore, the engaging content of cartoon visuals can relieve patients' nervousness about surgery, increase their trust and cooperation, and further improve the effect of doctor-patient communication.

Indexed as

Cartoons as TopicIntervertebral Disc DegenerationIntervertebral Disc DisplacementPatient Education as TopicAdultAgedAnxietyFemaleHumansMaleMiddle AgedPatient SatisfactionSelf CareAnxietyCartoon visuals nursing guidanceDegenerative disc herniationSelf-care knowledge

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.