在食道测量前的真实生活患者教育记录
Coka K Yip1,2,3,4,5,6,7, Linda Y Kim1,2,3,4,5,6,7, Ali Rezaie1,2,3,4,5,6,7
1Coka K. Yip, DNP, NP, FNP-BC, is at GI Motility Program, Division of Gastroenterology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
概括
一个新的数字记录显著改善了患者的知识,并减少了对高分辨率食道计量 (HREM) 程序的焦虑. 这种标准化的教育工具提高了患者的满意度,降低了手术取消率.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 提高质量 提高质量
背景情况:
- 高分辨率食道测量仪 (HREM) 是食道学中至关重要的诊断程序.
- 现有的HREM教育资源有限,影响患者的理解和体验.
- 患者的知识,焦虑和满意度是影响程序成功和遵守的关键因素.
研究的目的:
- 开发和评估用于HREM患者教育的增强数字记录.
- 评估这项教育工具对患者知识,焦虑,满意度和手术流产率的影响.
主要方法:
- 一个质量改进项目,由卫生保健改进研究所的改进模型和自我调节理论指导.
- 一个跨专业团队创建了一个视频,详细介绍了HREM前,期间和后的护理.
- 参与者在四个招聘周期中使用视频进行教育,并通过教育前和教育后的问卷进行管理.
主要成果:
- 患者的知识从基线水平 (从60%到92%不等) 显著增加到教育后的96-97% (p < .001到p = .02).
- 患者的焦虑评分在所有组都显著下降 (p < .001到p = .03).
- 99.5%的参与者表示对教育记录感到满意,只有2.6%的程序被中止.
结论:
- 记录的患者教育有效地提高了知识,并减少了与HREM相关的焦虑.
- 开发的数字录音是一个标准化的,受欢迎的教育工具.
- 这种干预措施显示出在各种临床环境中广泛实施的潜力,以改善患者护理和程序结果.
相关概念视频
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