Lindsay C, Jennrich J A, Biemolt M
Evanston Hospital Corporation, IL.
Heart Lung. 1991 Nov;20(6):648-53.
Programmed instruction is an underused approach for educating hospitalized patients. This educational technique is based on the work of Skinner, who developed the linear programmed instruction technique. To test the effectiveness of this technique as a patient education tool, a programmed instruction booklet was developed for patients who were hospitalized after myocardial infarction. The booklet included basic information on cardiac anatomy and pathology, risk factors, diet, exercise, and medications. A quasi-experimental study design was implemented in which 59 hospitalized patients who had had a myocardial infarction underwent pretesting and posttesting. Patients were alternately assigned to a control group or an experimental group. The control group (n = 30) participated in the hospital's existing cardiac rehabilitation program, and the experimental group (n = 29) used the programmed instruction booklet. A one-way analysis of variance revealed a statistically significant improvement (p less than 0.05) in the posttest scores of the experimental group. The results of this study support the use of the programmed instruction method as one means of teaching cardiac rehabilitation information to hospitalized patients after myocardial infarction.
程序教学是一种未得到充分利用的对住院患者进行教育的方法。这种教育技术基于斯金纳的研究成果，他开发了线性程序教学技术。为了测试这种技术作为患者教育工具的有效性，为心肌梗死后住院的患者编写了一本程序教学手册。该手册包含有关心脏解剖学和病理学、危险因素、饮食、运动及药物的基本信息。实施了一项准实验研究设计，59名心肌梗死住院患者接受了前测和后测。患者被交替分配到对照组或实验组。对照组（n = 30）参加医院现有的心脏康复计划，实验组（n = 29）使用程序教学手册。单因素方差分析显示实验组后测分数有统计学上的显著提高（p小于0.05）。本研究结果支持使用程序教学法作为向心肌梗死后住院患者传授心脏康复信息的一种方式。
