Kim Jenny Jane, Mohammad Rima A, Coley Kim C, Donihi Amy C
From the *PGY2 Internal Medicine Pharmacy Resident, University of Pittsburgh Medical Center (UPMC) (currently, an Assistant Professor, Department of Pharmacogenomics, Bernard J. Dunn School of Pharmacy at Shenandoah University, Ashburn, Virginia); †Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy and Clinical Pharmacy Specialist, UPMC; and ‡Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy and Director of the Center for Pharmacoinformatics and Outcomes Research, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.
J Patient Saf. 2015 Sep;11(3):160-5. doi: 10.1097/PTS.0000000000000062.
To evaluate the effectiveness of a warfarin educational video in the hospital setting and to determine patients' satisfaction with using an iPad to view a warfarin educational video.
This prospective quality improvement project included adult (≥18 years of age) patients on warfarin in the hospital. All patients completed pre-video and post-video knowledge tests on the iPad before and after viewing the educational video on warfarin therapy. Patients also completed a patient satisfaction survey.
Forty hospitalized patients were educated using the warfarin video and included for analysis. The majority of patients were new to warfarin therapy (65%). Forty-three percent of patients passed the pre-video knowledge test, and 90% passed the post-video knowledge test (P < 0.001). No significant differences were observed among knowledge test scores when compared by age, sex, level of education, and use of central nervous system depressant medications. Most patients (82.5%) reported they liked using the iPad and found it easy to use. Patients who were younger (< 65 years) and female subjects reported they liked using the iPad more than older patients (P = 0.01) and male subjects (P = 0.02), respectively. Also, younger patients found the iPad easier to use compared with patients who were older (P = 0.01).
Educating hospitalized patients about warfarin by using a video on an iPad was effective. Video education on an iPad may be an alternative to traditional education in the hospital setting.
评估华法林教育视频在医院环境中的有效性，并确定患者使用iPad观看华法林教育视频的满意度。
这项前瞻性质量改进项目纳入了医院中正在使用华法林的成年（≥18岁）患者。所有患者在观看关于华法林治疗的教育视频之前和之后，在iPad上完成了视频前和视频后的知识测试。患者还完成了一份患者满意度调查。
40名住院患者通过观看华法林视频接受了教育并纳入分析。大多数患者是华法林治疗的新手（65%）。43%的患者通过了视频前知识测试，90%的患者通过了视频后知识测试（P<0.001）。按年龄、性别、教育程度和是否使用中枢神经系统抑制药物进行比较时，知识测试分数之间未观察到显著差异。大多数患者（82.5%）报告他们喜欢使用iPad并且觉得它易于使用。年龄较小（<65岁）的患者和女性患者分别报告比老年患者（P=0.01）和男性患者（P=0.02）更喜欢使用iPad。此外，与老年患者相比，年轻患者觉得iPad更容易使用（P=0.01）。
通过在iPad上播放视频对住院患者进行华法林教育是有效的。在医院环境中，在iPad上进行视频教育可能是传统教育的一种替代方式。
