在移植评估之前向患者提供基于网络的教育的可行性
Liise K Kayler1,2,3, Jing Nie4, Anne Solbu2,3
1Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.
Clinical transplantation
|October 28, 2023
概括
大多数患者使用在线移植 (KTX) 教育,但弱势群体面临访问问题. 临床内教育的提供对工作人员和患者来说是具有挑战性的,这表明需要改进策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 医疗信息学 医疗信息学
背景情况:
- 之前开发的基于网络的移植患者教育 (KTX) 评估.
- 可行性研究,以评估干预采用,障碍和员工在全诊所实施的经验.
- 准备对KTX教育进行最终的比较有效性试验.
研究的目的:
- 评估患者对基于网络的KTX教育的接受程度.
- 识别远程和临床教育提供障碍.
- 评估员工在移植中心实施基于网络的教育方面的经验.
主要方法:
- 通过电子邮件/文本向转诊患者提供17个KTX教育视频的网页链接 (10/2020-3/2021).
- 记录患者的障碍,并对7名临床工作人员进行关于临床内教育的采访.
- 使用统计测试分析患者特征,KTX访问和移植时间.
主要成果:
- 在210名患者中,71%的人通过远程完成了教育;16%的人尝试了,13%的人拒绝了.
- 障碍包括技术访问,连接,有限的员工时间和患者的注意力.
- 与完成者相比,减少者和尝试者往往不符合KTX的资格;在移植的时间上没有显著差异.
结论:
- 大多数患者通过远程接入教育,但弱势群体面临更大的接入挑战.
- 临床内教育提供给工作人员和患者带来了负担.
- 适应性实施策略是必要的,以确保为移植提供足够的患者教育.
相关概念视频
01:28Kidney Transplant I: Introduction
14
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
14
01:16Kidney Transplant III: Nursing Management
22
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
22
01:26Kidney Transplant II: Surgical Procedure
20
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
20
01:28Chronic Kidney Disease III: Interprofessional Care
21
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
21
01:25Chronic Kidney Disease I: Introduction
18
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
18
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
19
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
19