Toscos Tammy R, Coupe Amanda, Wagner Shauna, Drouin Michelle, Roebuck Amelia E, Daley Carly N, Carpenter Maria D, Mirro Michael J
Parkview Mirro Center for Research & Innovation Parkview Health System Fort Wayne Indiana.
Indiana University School of Informatics and Computing Indianapolis Indiana.
Nurs Open. 2020 May 12;7(4):998-1010. doi: 10.1002/nop2.472. eCollection 2020 Jul.
To identify knowledge gaps and preferences for educational material to improve nurse-patient communication and self-care.
Using a mixed-methods design, we conducted focus groups and quantitative surveys.
We conducted three focus groups with atrial fibrillation (AF) patients and support persons ( = 17 participants; 66 ± 16 years) at critical treatment junctures (recent diagnosis or medication switch). Patients and support persons were also surveyed on patient activation (self-management skills and knowledge), medication adherence, AF knowledge and health literacy. Iterative thematic analysis was performed using focus group transcripts.
Although most participants had adequate health literacy, most reported gaps in AF knowledge. Participants lacked disease-related knowledge and were unsure how to manage health behaviours (e.g. diet and exercise). Few felt they received adequate education from their healthcare provider. Results emphasize the need for consistent information from nursing staff, in lay language, via both electronic and printed means.
识别知识差距以及对教育材料的偏好，以改善护士与患者之间的沟通及自我护理。
采用混合方法设计，我们开展了焦点小组和定量调查。
我们在关键治疗节点（近期诊断或药物转换）对心房颤动（AF）患者及其支持人员（共17名参与者；年龄66±16岁）进行了三次焦点小组访谈。还对患者及其支持人员进行了患者激活（自我管理技能和知识）、药物依从性、房颤知识和健康素养方面的调查。使用焦点小组访谈记录进行迭代主题分析。
尽管大多数参与者具备足够的健康素养，但大多数人表示在房颤知识方面存在差距。参与者缺乏与疾病相关的知识，并且不确定如何管理健康行为（如饮食和锻炼）。很少有人觉得他们从医疗服务提供者那里得到了充分的教育。结果强调护理人员需要通过电子和印刷手段，用通俗易懂的语言提供一致的信息。
