使用视频游戏干预来增加医院医生与老年人的提前护理计划对话:一个渐进的子随机临床试验
Deepika Mohan1, A James O'Malley2, Julia Chelen3
1Department of Critical Care Medicine, University of Pittsburgh, Room 638 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. mohand@upmc.edu.
Journal of general internal medicine
|July 10, 2023
概括
一个视频游戏的干预旨在促进医院中老年人之间的提前护理计划 (ACP) 对话. 该研究没有发现对ACP账单的总体影响很大,试验阶段的结果各不相同.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
背景情况:
- 提前护理计划 (ACP) 建议重病的老年人进行,以改善以患者为中心的终身护理.
- 专门针对阿克巴国家的住院环境的干预措施有限.
研究的目的:
- 评估一种新的医生指导干预,使用视频游戏增加医院的预先护理计划 (ACP) 对话.
- 评估加强常规护理与基于理论的视频游戏相结合对ACP计费的影响.
主要方法:
- 在35家医院中,在5个1个月的步骤中采用了阶梯集群随机设计.
- 治疗65岁或以上患者的医生接受了一场视频游戏干预,旨在增加ACP的动机.
- 预先护理计划 (ACP) 计费是主要结果,数据抽象器对干预状态视而不见.
主要成果:
- 共有132名医生参与,治疗了44235名符合条件的患者.
- 总体而言,ACP账单从干预前的26%下降到干预后的21%.
- 视频游戏干预显示了非显著的对ACP计费的同质效应 (OR 0.96;95% CI 0.88-1.06),但在试验阶段观察到显著的效应修改.
结论:
- 新的视频游戏干预,当添加到增强的常规护理时,并没有显示出对提前护理计划 (ACP) 计费的明确影响.
- 试验阶段结果的变化表明,从世俗趋势 (如COVID-19流行病) 产生潜在的混.
- 需要进一步的研究,以了解游戏化干预措施在促进ACP在住院环境中的有效性.
相关概念视频
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Coronary Artery Disease V: Interprofessional Care
10
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
10
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Acute Coronary Syndrome IV: Interprofessional Care
12
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
12
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.3K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.3K
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66


