患者和护理人员对重症监护病房电视教育的看法。

Patients' and Care Providers' Perceptions of Television-Based Education in the Intensive Care Unit.

机构信息

Melissa L. Thompson Bastin and Alexander H. Flannery are critical care pharmacists in the pulmonary and medical intensive care unit, Department of Pharmacy Services, University of Kentucky HealthCare, and assistant professors of pharmacy, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, Kentucky. Grant Tyler Short is a pharmacy resident (postgraduate year 2), Department of Pharmacy Services, University of Kentucky Health-Care. Aaron M. Cook is the clinical coordinator for neuroscience and pulmonary/critical care, Department of Pharmacy Services, University of Kentucky HealthCare, and an associate professor of Pharmacy, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy. Katie Rust is an intensive care nurse in the pulmonary and medical intensive care unit, University of Kentucky HealthCare, and a doctoral student, University of Kentucky College of Nursing, Lexington, Kentucky.

出版信息

Am J Crit Care. 2019 Jul;28(4):307-315. doi: 10.4037/ajcc2019156.

DOI:10.4037/ajcc2019156

PMID:31263014

Abstract

BACKGROUND

Delivery of patient education materials to promote health literacy is a vital component of patient-centered care, which improves patients' decision-making, reduces patients' anxiety, and improves clinical outcomes.

OBJECTIVES

To evaluate perceptions of television-based patient education among patients, caregivers, nurses, and other care providers (attending physicians, advanced practice nurses, physician assistants, and resident fellows) in the intensive care unit.

METHODS

A Likert-scale survey of the perceptions of patients, caregivers, nurses, and other care providers in the medical and cardiovascular intensive care units of a large academic medical center. Perceptions of the effects of television-based education on anxiety, knowledge, and health-related decision-making were assessed.

RESULTS

A total of 188 participants completed the survey. Among them, 75% of nurses and 76% of other providers agreed or strongly agreed that television-based education improved patients' and caregivers' knowledge ( = .95). More nurses (47%) than other providers (29%) agreed that television-based education would lead to more informed health decisions by patients ( = .04). Patients and caregivers are 23 times more likely than providers to strongly agree that television-based education reduces anxiety, and they are more optimistic regarding the benefits of television-based education (relative risk ratio 23.47; 95% CI 9.75-56.45; < .001).

CONCLUSION

Patients and caregivers strongly suggested that television is a useful tool for providing health literacy education in an intensive care unit.

摘要

背景

提供患者教育材料以提高健康素养是患者为中心护理的重要组成部分，它可以改善患者的决策能力、减轻患者的焦虑感并改善临床结果。

目的

评估重症监护病房的患者、照护者、护士以及其他医护人员（主治医生、高级执业护士、医师助理和住院医师研究员）对基于电视的患者教育的看法。

方法

对一家大型学术医疗中心的内科和心血管重症监护病房的患者、照护者、护士以及其他医护人员进行基于李克特量表的调查。评估了基于电视的教育对焦虑、知识和与健康相关的决策的影响。

结果

共有 188 名参与者完成了调查。其中，75%的护士和 76%的其他医护人员同意或强烈同意基于电视的教育可以提高患者和照护者的知识（ =.95）。与其他医护人员（29%）相比，更多的护士（47%）认为基于电视的教育将使患者做出更明智的健康决策（ =.04）。患者和照护者比医护人员强烈认为基于电视的教育可以减轻焦虑的可能性高 23 倍，并且他们对基于电视的教育的益处更加乐观（相对风险比 23.47；95%置信区间 9.75-56.45； <.001）。