J Emerg Nurs. 2020 Mar;46(2):180-187. doi: 10.1016/j.jen.2019.11.006. Epub 2020 Feb 1.
Although evidence supports the addition of video discharge instructions to improve caregiver knowledge among English-speaking caregivers of children in the pediatric emergency department, there is no evidence about the effectiveness of videos for Spanish-speaking caregivers. The purpose of this study was to test whether Spanish video discharge instructions added to standard written and oral discharge instructions would result in improved knowledge and satisfaction among caregivers compared with written and oral instructions alone.
Spanish videos were created for fever, gastroenteritis, and bronchiolitis. A quasi-experimental, consecutive-sample, pre-post-test design was used with an audio computer-assisted survey platform to provide surveys in Spanish. The intervention group received written and oral instructions + video, whereas the comparison group received written and oral instructions alone.
Data were collected from 150 caregivers. Caregivers who were given written and oral instructions + video showed significant knowledge improvement regarding their child's diagnosis and treatment (+19.3% and +23.6%, respectively, among standard participants; P < 0.001). Moreover, videos did not significantly improve caregivers' knowledge regarding illness duration and when to seek further care. Regardless of the discharge instruction format, no significant difference was observed in the helpfulness of the instructions (-1%; pre vs post, 84% vs 80%; χ = 0.35; P = 0.58).
Study results demonstrate that when tailored to reflect diagnosis-specific education, video discharge instructions can improve Spanish-speaking caregiver knowledge about discharge education compared with written and oral instructions alone. Videos can be integrated to standardize the ED discharge process as an adjunct to nurse-provided written and oral instructions with an interpreter for Spanish-speaking families.
尽管有证据表明，添加视频出院指导可以提高讲英语的儿科急诊室患儿照顾者的知识水平，但对于西班牙语照顾者来说，视频的效果尚没有相关证据。本研究旨在检验在标准书面和口头出院指导的基础上增加西班牙语视频出院指导是否会使照顾者的知识和满意度得到提高。
为发热、胃肠炎和细支气管炎制作了西班牙语视频。采用准实验、连续样本、前后测试设计，使用音频计算机辅助调查平台提供西班牙语调查。干预组接受书面和口头指导+视频，而对照组仅接受书面和口头指导。
共收集了 150 位照顾者的数据。与标准组相比，接受书面和口头指导+视频的照顾者在其子女的诊断和治疗方面的知识显著提高（标准组分别提高了 19.3%和 23.6%，P<0.001）。此外，视频并未显著提高照顾者对疾病持续时间和何时寻求进一步治疗的了解。无论出院指导形式如何，指导的有用性都没有显著差异（指导前为 84%，指导后为 80%，-1%；χ²=0.35，P=0.58）。
研究结果表明，当视频出院指导针对特定诊断的教育进行量身定制时，与单独使用书面和口头指导相比，可以提高讲西班牙语的照顾者对出院教育的了解。视频可以作为护士提供的书面和口头指导的补充，与口译员一起为讲西班牙语的家庭提供标准化的 ED 出院流程。
