连接医院和家庭 (TEACHH) 的喘远程医疗教育试点研究
Sean M Frey1, Ignacio Sanchez1, Maria Fagnano1
1University of Rochester School of Medicine & Dentistry, Rochester, NY, USA.
概括
这项研究发现,医疗素养,远程医疗喘教育计划是可行的,并得到了住院儿童的护理人员的好评. 连接医院和家庭 (TEACHH) 的喘远程医疗教育干预措施显示了改善喘管理的前景.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 儿童喘需要对住院儿童及其照顾者的有效管理策略.
- 远程医疗为改善喘教育和医院之外的支持提供了一个潜在的途径.
- 健康素养是患者教育和遵守治疗计划的关键因素.
研究的目的:
- 评估医院住院儿童的新型健康素养,远程医疗增强的喘教育和家庭管理干预措施的可行性和护理人员的接受度.
- 评估与喘发病率和生活质量相关的初步结果.
- 收集护理人员关于干预组件和整体影响的观点.
主要方法:
- 一项试点随机试验,比较连接医院和家庭的喘远程健康教育 (TEACHH) 干预措施与标准化护理 (SC) 在患有喘的住院儿童 (5-13岁) 中.
- TEACHH的干预包括使用视觉辅助工具和彩色编码标签进行健康素养教育,随后进行两次虚拟后续访问.
- 通过访问完成率来评估可行性;初步结果包括急性医疗保健访问,无症状日和通过健康记录和护理人员调查来衡量的生活质量.
主要成果:
- TEACHH的干预表明了可行性,住院治疗的完成率很高,虚拟访问的完成率为77%.
- 护理人员积极接受TEACHH的干预,重视教学方法,儿童参与和视觉/彩色编码工具.
- 干预组和对照组都显示症状和生活质量有所改善;护理人员报告说,支持和沟通得到了增强.
结论:
- 一个以患者为中心,远程医疗增强的喘教育计划 (TEACHH) 是可行的,并得到了住院儿童的护理人员的好评.
- 该干预措施显示了改善喘管理和在家庭环境中提供支持的潜力.
- 需要使用更大的样本大小进行进一步的研究,以确认TEACHH对儿童喘发病率的影响.
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