评估在为有公共保险的女性提供的产后患者导航项目中使用短信沟通的效果。
Evaluating the use of text message communication in a postpartum patient navigation program for publicly insured women.
机构信息
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Amherst College, Amherst, MA, USA.
出版信息
Patient Educ Couns. 2019 Apr;102(4):753-759. doi: 10.1016/j.pec.2018.10.028. Epub 2018 Nov 2.
OBJECTIVE
To compare communication between navigators and women according to follow-up status in a postpartum patient navigation program ("Navigating New Motherhood" [NNM]).
METHODS
This is a mixed methods secondary analysis of text message and email transcripts from NNM. Transcripts were analyzed by number of messages sent, received, and unanswered. Message themes were qualitatively analyzed using constant comparative technique. Bivariable and multivariable tests were conducted.
RESULTS
Most women (98.2%) communicated with navigators via text message. Women who completed postpartum follow-up sent and received more texts than women who did not (7.8 vs. 3.7, p < 0.001 and 11.5 vs. 8.0, p < 0.05, respectively); exchange of ≥6 messages was associated with greater odds of follow-up (adjusted odds ratio 2.89, 95% CI1.13-7.41). Lack of patient response was also associated with lack of follow-up (p < 0.001). Four categories of message themes were identified: Rapport-building, Postpartum Care Coordination, Maternal Health, and Motherhood. Message threads with more Rapport-building or Maternal Health messages were associated with more frequent patient follow-up (p < 0.01 and p < 0.05, respectively), as was average number of emoticons per message thread (2.1 vs. 1.2, p = 0.01).
CONCLUSION
More frequent and multidimensional communication was associated with follow-up in a postpartum patient navigation program.
PRACTICE IMPLICATIONS
Text messaging can serve as a favorable communication platform within patient navigation.
目的
比较导航员与参与产后患者导航计划（“导航新妈妈”[NNM]）的女性之间的沟通情况，并按照随访状态进行比较。
方法
本研究对 NNM 的短信和电子邮件记录进行了混合方法的二次分析。通过发送、接收和未回复的消息数量对记录进行分析。使用恒定比较技术对消息主题进行定性分析。进行了单变量和多变量检验。
结果
大多数女性（98.2%）通过短信与导航员进行沟通。完成产后随访的女性发送和接收的短信多于未完成随访的女性（7.8 次对 3.7 次，p<0.001；11.5 次对 8.0 次，p<0.05）；交换≥6 条消息与随访的可能性更大相关（调整后的优势比 2.89，95%CI1.13-7.41）。患者无回复也与未随访相关（p<0.001）。确定了四个类别的消息主题：建立关系、产后护理协调、产妇健康和母亲身份。具有更多建立关系或产妇健康消息的消息线程与更频繁的患者随访相关（p<0.01 和 p<0.05），每个消息线程的平均表情符号数量也相关（2.1 个对 1.2 个，p=0.01）。
结论
在产后患者导航计划中，更频繁和多维度的沟通与随访相关。
实践意义
短信可以作为患者导航中的一种有利沟通平台。
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