Impact of Visual Health Education on Perioperative Outcomes and Medication Adherence in Older Adults Undergoing PKP for Osteoporotic Vertebral Fractures.

Objective: This study aimed to evaluate the efficacy of visual health education (VHE) intervention in the perioperative management of older adults undergoing percutaneous kyphoplasty (PKP) for osteoporotic vertebral fractures (OVFs). Methods: A prospective cohort of 96 patients (aged ≥65 years) scheduled for primary PKP between June 2024 and January 2025 were enrolled. Participants were allocated to a control group (n = 46) receiving conventional verbal education or an intervention group (n = 50) receiving VHE via instructional videos. The VHE program encompassed disease-specific knowledge, surgical procedures, and postoperative rehabilitation. Outcome measures included sleep quality (PSQI), anxiety (SAS), blood pressure stability, patient satisfaction, and anti-osteoporosis medication adherence. Results: The VHE group demonstrated significant improvements across all perioperative metrics compared to controls. Preoperative sleep quality was superior (PSQI: 7.85 ± 2.16 vs 15.63 ± 3.62, P < 0.001), anxiety levels were lower (SAS: 30.62 ± 3.48 vs 55.68 ± 3.95, P < 0.001), and patient satisfaction at discharge was higher (100% vs 95.7%, P < 0.001). The intervention group also exhibited better medication adherence at 6-month follow-up (76% vs 28.3%, P < 0.001) and more stable preoperative blood pressure (systolic BP: 152.8 ± 5.9 vs 178.4 ± 7.1 mmHg, P < 0.001). Conclusion: Disease-specific visual health education significantly enhances perioperative experiences, improves psychological well-being, stabilizes physiological parameters, and promotes long-term treatment adherence in older OVF patients undergoing PKP. This approach represents a valuable adjunct to standard perioperative care, with the potential to reduce complications and improve overall clinical outcomes.