有针对性的自我导向学习可以支持临床医生改善患者对喘的吸入性皮质类固醇治疗的坚持
Maeve Savage1, Ian Bates2, Grainne d'Ancona3,4
1Guy's and St Thomas' NHS Foundation Trust, London, UK.
BMJ open respiratory research
|November 7, 2025
概括
一个新的在线模块显著提高了医疗保健专业人员在管理喘患者的吸入性皮质类固醇 (ICS) 不坚持方面的知识和信心. 这个教育工具旨在通过解决喘管理中的关键因素来增强患者护理.
科学领域:
- 医学教育 医学教育
- 呼吸系统医学 呼吸系统医学
- 患者的坚持 患者的坚持
背景情况:
- 吸入性皮质类固醇 (ICS) 对于喘管理至关重要,但低于最佳的坚持影响大约50%的患者.
- 不遵守ICS会导致严重的健康后果,包括失控的症状,恶化,住院和死亡率.
- 医疗保健专业人员 (HCP) 需要增强技能和工具,以有效地解决不遵守的多方面的原因.
研究的目的:
- 评估新型自主导的在线模块对医疗保健人员知识和信心的影响.
- 具体来说,评估了喘患者吸入性皮质类固醇 (ICS) 不坚持治疗的变化.
主要方法:
- 使用混合方法,测试前/测试后的准实验设计.
- 参与者在在线模块之前和之后完成了基于知识的多选择题和信心评分 (Likert 量表).
- 配对样本t测试分析了分数的变化,半结构面试探索了定性主题.
主要成果:
- 在194名参与者中,在模块完成后观察到知识 (p<0.001) 和信心 (p<0.001) 评分的统计学上显著增加.
- 对采访的定性分析揭示了对患者观点的更好理解以及支持遵守的实际策略.
- 关键主题确定了实施实践变革的障碍,并从模块中获得了实际建议.
结论:
- 自主指导的在线模块有效地提高了医疗保健人员在管理喘中ICS不遵守方面的知识和信心.
- 需要进行进一步的研究,以确定该模块对客观患者临床结果的影响.
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