出院后的视频访问,以遵守医院出院建议:一项随机临床试验
Sagar B Dugani1, Shangwe A Kiliaki2, Megan L Nielsen2
1Division of Hospital, Internal Medicine, Mayo, Clinic, Rochester, MN; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Digital health
|August 29, 2023
概括
医院医药患者的出院后视频访问并没有改善对出院建议的遵守. 需要进一步的研究来探索患者坚持治疗的潜在性别差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 患者的坚持 患者的坚持
背景情况:
- 有效的出院后护理对于患者的康复和预防再入院至关重要.
- 医院出院建议包括药物管理,自我护理和家庭支持.
- 越来越多地探索远程医疗干预措施,以提高医疗保健的可访问性和患者参与度.
研究的目的:
- 评估出院后视频访问在改善患者遵守医院出院建议方面的有效性.
- 评估远程医疗对药物坚持,自我管理和家庭支持的影响.
主要方法:
- 一个随机的临床试验,涉及到医院医药的患者,他们被送回家或辅助生活.
- 干预组在出院2-5天后接受视频访问;对照组接受了通常的护理.
- 主要结果是通过电话后续评估,衡量遵守所有放电建议的程度.
主要成果:
- 视频检查和常规护理组之间对出院建议的总体遵守没有显著差异 (76.7%与72.5%,P=19).
- 在药物管理,自我管理或家庭支持领域的坚持方面没有观察到显著差异.
- 干预组的女性与对照组相比,表现出更高的坚持 (OR,1.77;95% CI,1.08-2.91).
结论:
- 先进实践提供者在出院后的视频访问并没有提高该患者群体对医院出院建议的遵守.
- 这项研究强调了潜在的基于性别的依从差异,这需要进一步调查.
- 远程医疗可能不会在没有量身定制的策略的情况下普遍改善遵守.
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