Department of Respiratory Diseases and Allergy, Arhus University Hospital, Aarhus N, Denmark.
Diagnostic Centre, University Research Clinic for innovative Patient Pathways, Silkeborg Regional Hospital, Midtjylland, Denmark.
Telemed J E Health. 2021 Jul;27(7):800-806. doi: 10.1089/tmj.2020.0101. Epub 2020 Oct 9.
Adherence to immunosuppressive medicine in lung transplant recipients is associated with improved long-term survival. Patient education and support from health care providers are key components. We investigated e-learning as a tool to improve lung transplant recipients' knowledge of post-transplant care such as hygiene, self-monitoring, travel precautions, vaccinations, and the importance of adherence to medication. To compare the effect of e-learning and conventional patient education with respect to level of knowledge and drug adherence. A single-center open randomized controlled trial design was used. Lung transplant recipients were randomized to an e-learning program or standard care. One month before a scheduled follow-up visit, the intervention group received a link by e-mail to a 15-min e-learning program. At the follow-up visit, all lung transplant recipients completed two drug adherence questionnaires (Basel Assessment of Adherence with Immunosuppressive medication Scales [BAASIS] and Transplant Adherence Questionnaire [TAQ]) and a questionnaire testing their knowledge of post-transplant care. Fifty lung transplant recipients were randomized with 24 recipients in each group completing the study. Recipient adherence measured by BAASIS showed a tendency toward improved drug adherence in the intervention group compared with the control group (71% vs. 55%, = 0.23). TAQ showed no difference between the two groups ( = 1.0). Recipients in the intervention group had a significantly higher number of correct answers to questions about transplant-friendly lifestyle (median 11 vs. 10, = 0.02). A 15-min e-learning program is a simple and effective tool to improve lung transplant recipients' knowledge of post-transplant care.
肺移植受者坚持使用免疫抑制药物与长期生存改善相关。患者教育和医疗保健提供者的支持是关键组成部分。我们研究了电子学习作为一种工具，以提高肺移植受者对移植后护理的知识，如卫生、自我监测、旅行预防措施、疫苗接种以及坚持药物治疗的重要性。为了比较电子学习和常规患者教育在知识水平和药物依从性方面的效果。采用单中心开放随机对照试验设计。肺移植受者被随机分配到电子学习计划或标准护理组。在计划的随访访问前一个月，干预组通过电子邮件收到一个链接，可访问 15 分钟的电子学习课程。在随访访问时，所有肺移植受者都完成了两份药物依从性问卷（巴塞尔免疫抑制药物依从性评估量表[BAASIS]和移植依从性问卷[TAQ]）和一份测试他们对移植后护理知识的问卷。50 名肺移植受者被随机分组，每组 24 名受者完成研究。通过 BAASIS 测量的受者依从性显示，干预组的药物依从性有改善趋势，与对照组相比（71%比 55%， = 0.23）。TAQ 两组间无差异（ = 1.0）。干预组受者对移植友好型生活方式的问题有更多正确答案（中位数 11 比 10， = 0.02）。15 分钟的电子学习课程是一种简单有效的工具，可以提高肺移植受者对移植后护理的知识。
