Wilkin Zebulon L
William Beaumont Army Medical Center, Fort Bliss, Texas.
Adv Emerg Nurs J. 2020 Jan/Mar;42(1):71-78. doi: 10.1097/TME.0000000000000279.
Previous studies demonstrated that patients have difficulty understanding and retaining discharge instructions due to the lack of time spent counseling patients and low health literacy rates. The purpose of this study was to evaluate the effects of video instructions on patient understanding of their discharge instructions. This was a prospective, randomized, controlled trial of a convenience sample conducted in a military hospital emergency department. Adult patients with a diagnosis of upper respiratory tract infection, pharyngitis, or gastroenteritis were included into the study. Investigators randomized subjects to either standard discharge procedures or standard discharge procedures plus video discharge instructions, using a random number generator. Ten minutes after receiving one of these 2 discharge education methods, subjects demonstrated their knowledge of their discharge instructions using a predefined 5-question, multiple-choice questionnaire. From October 1, 2015, to January 8, 2016, a total of 60 subjects volunteered to participate in the study. Zero subjects were excluded, and all subjects completed the study protocol. Baseline characteristics between groups were not significantly different (30 video discharge instructions and 30 standard discharge instructions). We found a significant difference between groups with respect to discharge instructions knowledge in favor of the video discharge instructions group (4.53 vs. 4; p = 0.009). Video discharge instructions, used as an adjunct to standard verbal and written discharge methods, improved patient understanding and retention of their discharge instructions.
先前的研究表明，由于用于指导患者的时间不足以及患者健康素养率较低，患者在理解和记住出院指导方面存在困难。本研究的目的是评估视频指导对患者理解出院指导的效果。这是一项在军队医院急诊科对便利样本进行的前瞻性、随机对照试验。纳入研究的是诊断为上呼吸道感染、咽炎或肠胃炎的成年患者。研究人员使用随机数字生成器将受试者随机分为标准出院程序组或标准出院程序加视频出院指导组。在接受这两种出院教育方法之一10分钟后，受试者使用预先定义的包含5个问题的多项选择题问卷来展示他们对出院指导的了解。从2015年10月1日至2016年1月8日，共有60名受试者自愿参与该研究。没有受试者被排除，所有受试者均完成了研究方案。两组之间的基线特征无显著差异（视频出院指导组和标准出院指导组各30名）。我们发现两组在出院指导知识方面存在显著差异，视频出院指导组更具优势（4.53对4；p = 0.009）。视频出院指导作为标准口头和书面出院方法的辅助手段，提高了患者对出院指导的理解和记忆。
