基于网络的药物教育课程的有效性 孕妇的药物信息素养和决策自我效能:随机对照试验
Suya Li1, Hui-Jun Chen2, Jie Zhou1
1Wuhan University, Wuhan, China.
Journal of medical Internet research
|January 22, 2025
概括
一个基于网络的药物教育课程显著提高了孕妇的医疗信息素养 (MIL) 和决策自我有效性. 这种干预可以作为例行产前护理的宝贵补充,以提高患者对药物管理的理解和信心.
科学领域:
- 健康科学 卫生科学 卫生科学
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 与药物相关的不良事件在孕妇中很常见,通常是由于对药物信息的误解引起的.
- 适当的医疗信息素养 (MIL) 对孕妇来说至关重要,以确定可靠的药物信息来源.
- 赋予孕妇评估治疗风险,自我监测反应和参与决策的能力是减少不良事件的关键.
研究的目的:
- 评估基于网络的药物教育课程在提高孕妇MIL和决策自我有效性方面的有效性.
- 评估基于计划行为理论的干预对孕妇药物管理能力的影响.
主要方法:
- 进行了一项随机对照试验,涉及108名孕妇.
- 干预组接受了为期3周的基于网络的药物教育课程,而对照组接受了例行产前护理.
- 医疗信息素养量表和决策自我有效性问卷在基线,干预后和4周后期进行了随访. 分析使用了通用估计方程 (GEE).
主要成果:
- 与干预后和4周随访后的对照组相比,干预组显示出明显更高的MIL和决策自我有效性.
- 干预组的MIL和决策自我有效性显著改善 (P<.001),效果大小较大 (分别为d=0.81和d=1.26).
- 在4周的随访期内,改善持续 (分别为d=0.59和d=1.27).
结论:
- 基于计划行为理论的基于网络的药物教育课程有效地提高了孕妇的MIL和决策自我有效性.
- 这些课程在例行产前护理中作为一种有价值的补充教育工具.
- 这些发现支持整合数字健康干预措施,以提高怀孕期间的药物安全性.
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