在不同患者群体中,ICD知识与护理目标之间的关系
Sarah Godfrey1, Kelley Newcomer1, Nicholas Lorusso2
1University of Texas Southwestern Medical Center, Dallas, Texas.
Journal of pain and symptom management
|August 23, 2025
概括
在不同患者群体中,教育视频提高了可植入心脏转动器 (ICD) 知识和终身停活偏好. 需要针对某些群体持续存在的知识差距制定定制策略.
科学领域:
- 心脏病学
- 医学教育
- 健康上的差异
背景情况:
- 植入式心脏除器 (ICD) 是至关重要的,但冲击会对生活质量产生负面影响,尤其是在临终阶段.
- 对于ICD停用来说,共享决策至关重要,但由于患者对设备的了解而受到阻碍.
- 目前的教育材料缺乏文化包容性,
研究的目的:
- 评估文化定制的教育视频对不同患者的ICD知识和终身停活偏好的影响.
- 评估对教育干预的知识改进和禁用偏好的转变.
- 确定不同种族和民族之间的教育效率差异.
主要方法:
- 在城市安全网络医院的活跃ICD患者观看了7-9分钟关于ICD功能和停用的教育视频后完成了前后调查.
- 调查评估了ICD知识,在假设的生命终结场景中对停用的偏好以及个人经验.
- 参与者的人口统计包括非西班牙裔黑人,非西班牙裔白人和西班牙裔白人.
主要成果:
- 在视频后,ICD知识从47.4%显著提高到80.8% (p<0.001).
- 非西班牙裔黑人和西班牙裔白人患者的知识增长相似,但西班牙裔白人患者的知识增长较低 (p=0.0001).
- 在72%的参与者中,偏好消灭ICD增加了,特别是在涉及成为护理负担 (p=0.009) 或没有恢复希望的场景中 (p=0.001).
结论:
- 文化特定的教育决策辅助工具可以减少ICD知识的差异,并增强知情的终身决策,特别是在服务不足的人群中.
- 患者对ICD的更好理解增加了终身情况下关闭的确定性和偏好.
- 在西班牙裔白人患者中知识保留率较低,强调需要进一步定制教育方法,以确保公平的护理.
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