Weill Cornell Medicine, USA.
Health Informatics J. 2019 Dec;25(4):1595-1605. doi: 10.1177/1460458218796644. Epub 2018 Aug 31.
The objective of this study was to test the feasibility of video discharge education to improve self-efficacy in dealing with medication barriers around hospital discharge. We conducted a single-arm intervention feasibility trial to evaluate the use of video education in participants who were being discharged home from the hospital. The scores of pre- and post-intervention self-efficacy involving medication barriers were measured. We also assessed knowledge retention, patient and nursing feedback, follow-up barrier assessments, and hospital revisits. A total of 40 patients participated in this study. Self-efficacy scores ranged from 5 to 25. Median pre- and post-intervention scores were 21.5 and 23.5, respectively. We observed a median increase of 2.0 points from before to after the intervention (p = 0.046). In total, 95 percent of participants reported knowledge retention and 90 percent found the intervention to be helpful. Video discharge education improved patient self-efficacy surrounding discharge medication challenges among general medicine inpatients. Patients and nurses reported satisfaction with the video discharge education.
这项研究的目的是测试视频出院教育在提高处理出院时药物障碍的自我效能方面的可行性。我们进行了一项单臂干预可行性试验,以评估视频教育在从医院出院回家的参与者中的使用情况。测量了涉及药物障碍的自我效能的干预前后得分。我们还评估了知识保留、患者和护理人员反馈、随访障碍评估和医院复诊情况。共有 40 名患者参与了这项研究。自我效能得分范围为 5 到 25。干预前和干预后的中位数得分分别为 21.5 和 23.5。我们观察到干预前后中位数增加了 2.0 分(p=0.046)。总的来说,95%的参与者报告了知识保留,90%的参与者认为干预很有帮助。视频出院教育提高了普通内科住院患者在出院药物挑战方面的自我效能。患者和护士对视频出院教育表示满意。