a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA.
b School of Biological Sciences , University of California Irvine , Irvine , California , USA.
Subst Abus. 2018 Jan 2;39(1):27-31. doi: 10.1080/08897077.2017.1375061. Epub 2017 Sep 29.
The number of active opioid analgesic prescriptions has risen steadily, causing increases in nonmedical opioid use, addiction, and overdose. Insufficient focus on patient discharge instructions has contributed to lack of patient awareness regarding dangers of opioids. This study examines whether an educational Khan Academy-style animation discharge instruction on the dangers and safe usage of opioid analgesics elicits higher knowledge acquisition than current standard of care. Additionally, it measures the feasibility of implementing this video discharge instruction in the emergency department (ED).
Fifty-two English-speaking patients aged 18 years or older receiving an opioid prescription were enrolled in this study. Patients were randomized into 2 groups. The standard of care group received verbal instruction and an informational sheet, whereas the video animation group received a 6-minute video on proper usage of opioids in addition to standard of care. Video content was sourced from samhsa.gov and administered within the ED prior to discharge. Both groups received a 26-question test regarding the dangers and safe usage of opioids immediately after education. An unpaired t test compared knowledge acquisition between the 2 groups.
Fifty-four patients were approached, 52 patients enrolled; 27 in the standard group and 25 in the animation group. The standard of care group averaged 65% knowledge acquisition (16.8/26 correct), whereas the animation group averaged 82% acquisition (21.2/26 correct). The video animation significantly increased patient knowledge acquisition about opioid medications' risks and proper usage and disposal (P = .001).
It can be concluded that medical knowledge acquisition is improved in the video animation group compared with the current standard of care (P = .001). It can also be concluded that it is feasible to implement a novel media platform to educate patients receiving opioid analgesics in the ED (96.1%).
阿片类镇痛药的有效处方数量稳步上升，导致非医疗性阿片类药物使用、成瘾和过量用药的增加。对患者出院指导的重视不足导致患者对阿片类药物危险认识不足。本研究旨在检验关于阿片类镇痛药危险和安全使用的可汗学院式教育动画出院指导是否比当前的标准护理更能提高知识获取量，此外，还衡量了在急诊科（ED）实施该视频出院指导的可行性。
本研究纳入了 52 名年龄在 18 岁或以上、接受阿片类药物处方的英语患者。患者随机分为 2 组。标准护理组接受口头指导和信息单，而视频动画组除了标准护理外还接受了 6 分钟关于正确使用阿片类药物的视频。视频内容来自 samhsa.gov，并在 ED 内于患者出院前播放。两组患者在接受教育后立即接受了 26 道关于阿片类药物危险和安全使用的问题测试。使用独立样本 t 检验比较两组的知识获取量。
共对 54 名患者进行了评估，52 名患者入组；标准组 27 名，动画组 25 名。标准护理组的平均知识获取量为 65%（正确 16.8/26 道题），而动画组的平均知识获取量为 82%（正确 21.2/26 道题）。与当前的标准护理相比，视频动画组显著提高了患者对阿片类药物风险和正确使用及处理的知识获取（P =.001）。
与当前的标准护理相比，视频动画组的医疗知识获取得到了提高（P =.001）。还可以得出结论，在 ED 中使用新的媒体平台教育接受阿片类镇痛药的患者是可行的（96.1%）。
