通过针对多种疾病的住院患者进行量身定制的护理出院教学干预来改善患者激活:一项准实验性研究
Joanie Pellet1, Marianne Weiss2, Franziska Zúñiga3
1Institute of Higher Education and Research in Healthcare - IUFRS, University of Lausanne (UNIL), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Patient education and counseling
|October 20, 2023
概括
一个结构化的,个性化的出院教学干预措施显著改善了患者的激活和参与多病性住院患者的护理. 需要进一步的研究来完善具体的干预组件,以获得最佳的结果.
科学领域:
- 护理 护理 护理
- 患者教育 患者教育
- 健康结果的健康结果.
背景情况:
- 多病症住院患者在出院期间经常面临挑战.
- 有效的出院教学对于改善患者的治疗结果和减少再入院至关重要.
- 现有的出院干预措施可能缺乏个性化和结构化的患者参与.
研究的目的:
- 测试一种新的结构化,个性化的放学教学干预措施的初步有效性.
- 评估干预对患者激活和准备出院的影响.
- 评估患者的体验和退院后的再入院率.
主要方法:
- 采用了2组连续的干预前/干预后设计.
- 这项干预涉及训练有素的护士,他们使用结构化的工具来进行个性化的出院教学.
- 参与者包括68名在对照组和70名在干预组.
主要成果:
- 干预显著改善了从入院到出院后的患者激活 (p=0.05).
- 干预组的患者报告了更高的出院护理参与率 (p=0.01,效果大小=0.34).
- 在准备出院或10天再入院率方面没有发现显著差异.
结论:
- 结构化,个性化的出院教学干预措施在增强患者激活和参与方面显示出有前途.
- 患者参与策略是有效的出院教学的重要组成部分.
- 建议进一步细化干预措施,以优化其对所有测量结果的影响.
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