临床医生为AF患者创建的视频教育:一个随机临床试验
Daniel McIntyre1, Joshua G Kovoor2, Clara K Chow1,3
1Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
JAMA network open
|December 8, 2023
概括
临床医生创建的视频改善了患者心房动 (AF) 的知识. 与通常的护理相比,这种远程教育提高了对AF病理生理学和管理的理解.
科学领域:
- 心脏病学 心脏病学
- 医学教育 医学教育
- 数字健康数字健康
背景情况:
- 患者教育对于心房动 (AF) 管理至关重要.
- 有限的临床时间和可变的在线资源质量阻碍了有效的患者教育.
- 为AF患者开发可访问,高质量的教育材料是必不可少的.
研究的目的:
- 评估临床医生创建的视频教育的可行性和有效性,以改善AF知识.
- 确定以视频为基础的教育是否提高了患者对AF病理生理学,诊断和管理的理解.
- 评估远程教育干预措施对AF患者知识的影响.
主要方法:
- 一个单一中心随机临床试验,涉及208名AF成年人.
- 参与者被随机分配,接受临床医生创建的视频教育或通常的护理.
- 在干预后90天使用Jessa心房知识问卷 (JAFKQ) 评估知识.
主要成果:
- 与对照组相比,视频干预组在90天后显示出更好的AF知识 (OR,1.23).
- 远程访问视频3次以上的参与者表现出更大的知识改进 (OR, 1.46).
- 该研究包括患有AF的患者和常见的并发症,如心力衰竭和高血压.
结论:
- 远程传递,临床医生创建的视频教育有效地改善了AF患者的中期知识.
- 这种方法提供了一种可行的方法,以提高患者的理解,超出标准的临床教育.
- 进一步的研究应该探索这种教育策略对临床结果的影响.
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