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了解和执行 CDC 的可打印脓毒症患者教育材料的能力。

Understandability and Actionability of the CDC'S Printable Sepsis Patient Education Material.

机构信息

Christa Schorr is a clinical nurse scientist, Cooper Research Institute, Cooper University Hospital, and an associate professor of medicine, Cooper Medical School of Rowan University, Camden, New Jersey. Krystal Hunter is a statistician II, Cooper Research Institute, Cooper University Hospital, and an assistant professor of medicine, Cooper Medical School of Rowan University. Patti Rager Zuzelo is a clinical professor of nursing, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania.

出版信息

Am J Crit Care. 2018 Sep;27(5):418-427. doi: 10.4037/ajcc2018121.

Abstract

BACKGROUND

Quality improvement efforts in sepsis management have increased patients' survival rates. Many sepsis survivors experience sequelae leading to unplanned hospital readmissions and subsequent mortality, especially when survivors delay seeking medical attention because they do not recognize the signs and symptoms of recurrent sepsis. Thus, increasing knowledge of sepsis among patients and caregivers before initial hospital discharge is essential.

OBJECTIVE

To evaluate the understandability and actionability of a printable patient education tool on sepsis.

METHODS

Ten sepsis experts were invited to evaluate and score the content of the Centers for Disease Control and Prevention's for understandability and actionability using the Agency for Healthcare Research and Quality's Patient Education Materials Assessment Tool for printable material. Data were collected on 24 items via an electronic survey. Descriptive analysis included overall and understandability and actionability scores and measurement of interrater reliability. Items with discrepancies were reviewed.

RESULTS

Nine experts responded to the survey. Mean understandability (80.74), actionability (90.74), and overall (83.33) scores support the tool's utility for patient education. Interrater reliability found fair-to-moderate agreement across survey items.

CONCLUSIONS

The provides useful patient information as evaluated using established recommendations for printed materials and expert content validation. Areas for improvement include providing a summary, modifying images, and simplifying language. Results may be useful for sepsis education and discharge teaching.

摘要

背景

脓毒症管理中的质量改进工作提高了患者的生存率。许多脓毒症幸存者会出现后遗症,导致非计划性住院再入院和随后的死亡,尤其是当幸存者因为没有识别出反复发生的脓毒症的迹象和症状而延迟就医时。因此,在患者最初出院前增加患者和护理人员对脓毒症的了解至关重要。

目的

评估一种可打印的脓毒症患者教育工具的可理解性和可操作性。

方法

邀请了 10 名脓毒症专家使用医疗保健研究与质量局的可打印材料患者教育材料评估工具评估和评分疾病预防控制中心的内容的可理解性和可操作性。通过电子调查收集了 24 项内容的相关数据。描述性分析包括整体和可理解性及可操作性评分以及评分的组内一致性测量。对存在差异的项目进行了回顾。

结果

有 9 名专家对调查做出了回应。可理解性(80.74)、可操作性(90.74)和总体(83.33)评分均值支持该工具在患者教育中的实用性。调查项目的组内一致性为中等到适度一致。

结论

该脓毒症患者教育工具提供了有用的患者信息,其使用了既定的印刷材料建议和专家内容验证。需要改进的地方包括提供总结、修改图像和简化语言。研究结果可能对脓毒症教育和出院教学有用。

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