利用视频教育改善心力衰竭的结局。
Using video education to improve outcomes in heart failure.
机构信息
University of Virginia School of Nursing, P.O. Box 800782, Charlottesville, VA 22908-0782, United States.
University of Virginia School of Nursing, P.O. Box 800826, Charlottesville, VA 22908-0826, United States.
出版信息
Heart Lung. 2019 Sep-Oct;48(5):386-394. doi: 10.1016/j.hrtlng.2019.05.004. Epub 2019 Jun 4.
BACKGROUND
Heart Failure (HF) guidelines recommend HF self-care education. An optimal method of educating HF patients does not currently exist.
OBJECTIVES
To evaluate the effectiveness of supplementing usual HF education with video education and evaluate patients' satisfaction with video education.
METHODS
A mixed methods design was used. A convenience sample of 70 patients was recruited from an academic medical center. Participants completed the Atlanta Heart Failure Knowledge Test and the Self-care of Heart Failure Index before and after receiving video education, to measure HF knowledge, self-efficacy, and self-care respectively. Video usage and satisfaction with video education data were collected. All-cause 30-day readmissions data were compared to a historical group.
RESULTS
HF knowledge and self-care maintenance scores increased significantly. Self-efficacy, self-care management and all-cause 30-day readmissions did not significantly improve. Most HF patients were highly satisfied.
CONCLUSION
Supplementing usual HF education with VE was associated with improved HF knowledge and self-care maintenance.
背景
心力衰竭（HF）指南建议进行 HF 自我护理教育。目前尚无教育 HF 患者的最佳方法。
目的
评估在常规 HF 教育中补充视频教育的效果，并评估患者对视频教育的满意度。
方法
采用混合方法设计。从一家学术医疗中心招募了 70 名方便样本的患者。参与者在接受视频教育前后完成了亚特兰大心力衰竭知识测试和心力衰竭自我护理指数，分别测量 HF 知识、自我效能和自我护理。收集视频使用情况和视频教育满意度数据。将全因 30 天再入院数据与历史组进行比较。
结果
HF 知识和自我护理维持评分显著提高。自我效能、自我护理管理和全因 30 天再入院没有显著改善。大多数 HF 患者非常满意。
结论
在常规 HF 教育中补充 VE 与 HF 知识和自我护理维持的提高有关。
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