加强患者参与出院药物沟通:可行性试点试验
Georgia Tobiano1,2, Elizabeth Manias3, Wendy Chaboyer4,5
1NHMRC CRE in Wiser Wounds Care, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia g.tobiano@griffith.edu.au.
BMJ open
|September 26, 2024
概括
一个共同设计的数字干预措施显示出高的患者接受度和可行性,用于改善医院出院期间的药物沟通. 需要进一步的战略来促进招聘和留住未来的试验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 数字健康干预措施 数字健康干预措施
背景情况:
- 医院出院时关于药物的有效沟通对于患者的安全和遵守至关重要.
- 患者参与退院药物沟通可能受到限制,导致潜在的误解和不良事件.
研究的目的:
- 试点测试一项共同设计的干预措施,旨在加强患者参与医院出院药物沟通.
- 评估患者和医疗保健专业人员对干预措施的可行性和可接受性.
主要方法:
- 一项试点随机对照试验在一家三级医院进行.
- 该干预包括通过住院病人的海报上的QR码访问的三个网站,重点是药物信息和管理.
- 可行性通过招聘,保留,忠实性和数据完整性来衡量;可接受性是由患者和医疗保健专业人员自我报告的.
主要成果:
- 60名患者被随机分配,干预准确度高 (99.7%的数据完整性).
- 患者对该干预措施的接受度很高 (87.5%),而医疗保健专业人员的接受度中等 (50%).
- 27%的患者在出院28天后失去了随访.
结论:
- 共同设计的干预措施是可实施的,可行的,对患者来说是可以接受的,支持其进展到一个更大的最终试验.
- 改善参与者招募和保留的策略对于未来的研究是必要的.
- 加强医疗保健专业人员的准备工作可能会改善他们对干预接受性的看法.
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