一个随机测试的口袋卡,以增加2020年NHLBI喘指南的实施
Alan P Baptist1, Jenny J Lee2, Gita Sabhapathy3
1Division of Allergy & Clinical Immunology, Henry Ford Health, Detroit, MI.
概括
电子或印刷的口袋卡,改善了初级保健提供者对喘指南的了解. 虽然有用,但记得在病人访问期间使用它们仍然是有效实施的挑战.
科学领域:
- 肺部病理学 肺部病理学
- 医学教育 医学教育
- 主要护理是指初级护理.
背景情况:
- 国家心脏,肺和血液研究所 (NHLBI) 发布了2020年集中喘管理更新.
- 医疗保健提供者对这些关键的喘指南的认识,知识和实施不足.
- 需要有效的策略来改善遵守更新的喘管理协议.
研究的目的:
- 评估电子和打印口袋卡在加强NHLBI 2020喘指南更新在初级保健提供者 (PCP) 中实施的有效性.
- 评估口袋卡对PCP关于喘管理的知识和感知有用性的影响.
- 确定在临床实践中一致使用这些教育工具的障碍.
主要方法:
- 一项前性随机试验,涉及138名PCP,他们收到了喘管理口袋卡的电子或印刷版本.
- 在基线和使用口袋卡一个月后进行的基于知识的调查.
- 后续评估包括关于口袋卡使用情况,使用设置和感知有效性的问题.
主要成果:
- 参与者的知识分数在电子 (46.9%至56.7%) 和印刷 (42.2%至57.3%) 卡片组中显著提高 (p < 0.001).
- 在电子和印刷格式之间没有观察到知识改进的显著差异.
- 很高的百分比发现卡片有用 (71.4%电子,83.3%印刷),但只有50%在临床接触期间始终记得使用它们.
结论:
- 电子和印刷口袋卡都是有效的工具,用于增加与焦点喘更新相关的医疗知识.
- 这些口袋卡可以成为旨在改善喘指南实施的战略的宝贵组成部分.
- 可能需要进一步的策略来应对在患者护理过程中一致使用的挑战,以最大限度地实现指南实施.
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