评估教育电视节目干预对改变老年患者的影响,促进患者参与,减轻对医生的暴力:一个随机对照试验
Xiaohua Xiao1, Qian Wang2, Wenxiao Chen1
1School of Public Health and the Department of Geriatrics, the Fourth Affiliated Hospital, and International School of Medicine, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, 310058, China.
BMC health services research
|November 22, 2025
概括
一个教育性电视节目有效地改善了老年患者的决策能力,经验和识字能力,同时减少了对医生的攻击性. 这种干预促进了患者的参与,并改善了医生与患者的关系.
科学领域:
- 老年医学 老年医学
- 卫生教育卫生教育教育
- 患者与医生的沟通 患者与医生的沟通
背景情况:
- 对医生的暴力行为越来越令人担忧,仅限于以患者为中心的干预措施.
- 老年患者的观点和参与对于解决这个问题至关重要.
- 现有的干预措施往往忽视了患者在医生与患者关系 (DPR) 中的作用.
研究的目的:
- 评价一个针对老年患者的教育电视节目.
- 评估该计划对医疗决策意愿,患者经验和识字能力的影响.
- 确定该计划在减少患者对医生的侵略性方面的有效性.
主要方法:
- 一项随机对照试验,涉及394名老年参与者.
- 干预组观看了量身定制的教育电视节目;对照组观看了中立内容.
- 测量包括医疗决策的意愿,患者体验,攻击性和识字能力在基线,中线和随访.
主要成果:
- 与对照组相比,干预组在医疗决策,患者体验和识字方面显著改善.
- 在干预组中,对医生的攻击性在中线和后续评估中显著下降.
- 教育电视节目对医生与患者关系的关键方面产生了积极的影响.
结论:
- 教育电视节目是提高老年患者参与度和体验的有效策略.
- 干预成功地减少了对医生的攻击,改善了DPR.
- 这项低成本计划提供了一种有前途的方法,以促进患者参与,并减轻医疗保健机构的暴力行为.
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