Internal Medicine, Singapore General Hospital, Singapore
Medicine Academic Clinical Programme, Duke-NUS Medical School, Singapore.
BMJ Open Qual. 2021 Jan;10(1). doi: 10.1136/bmjoq-2020-000996.
Patients admitted to the isolation ward during the COVID-19 outbreak face multiple psychosocial stressors including the disruptive experience of being in quarantine, anxiety over contracting a newly emerging infectious disease and limited access to their healthcare team. This quality improvement project aims to leverage on technology to improve patients' access to, and experience of, care while in isolation.Patients admitted to two isolation wards in Singapore General Hospital (SGH) between 28 February and 19 March 2020 were each provided an iPad loaded with the MyCare application (app), curated materials and mobile games. During this period, 83 of them accessed the device and the app. MyCare app is an app developed by the nursing team in SGH as part of an existing interprofessional collaboration to help patients navigate their care during their inpatient stay. In response to COVID-19, MyCare app was supplemented with materials to address affected patients' informational and psychosocial needs. These materials included an information sheet on COVID-19, interviews with previous severe acute respiratory syndrome survivors, psychosocial support materials, and uplifting literature, illustrated storybooks and artwork.This paper describes the process of planning for, and executing, the intervention and reports the initial results of its effect. Initial feedback indicated a positive response to the intervention. 9 out of 10 respondents (90%) rated their hospital experience with a maximum of five stars and all 10 respondents (100%) rated the psychosocial support materials with five stars. Doctors managing the patients also observed a reduction in the number of commonly asked questions following the deployment of the iPad.This quality improvement project is ongoing with plans for further research to determine how to better support the psychosocial needs of patients in isolation during a novel disease outbreak. This report is written based on the Standards for Quality Improvement Reporting Excellence guidelines.
COVID-19 疫情期间，被收入隔离病房的患者面临多种心理社会压力源，包括隔离带来的困扰体验、对感染新发传染病的焦虑，以及与医疗团队有限的接触。本质量改进项目旨在利用技术改善患者在隔离期间获得和体验护理的效果。
2020 年 2 月 28 日至 3 月 19 日，新加坡中央医院（SGH）的两个隔离病房各为一名患者提供了一台加载有 MyCare 应用程序（app）、精选材料和移动游戏的 iPad。在此期间，有 83 名患者使用了该设备和应用程序。MyCare app 是 SGH 护理团队开发的一款应用程序，是现有跨专业合作的一部分，旨在帮助患者在住院期间了解其护理流程。针对 COVID-19，MyCare app 补充了用于满足受影响患者信息和心理社会需求的材料。这些材料包括一份关于 COVID-19 的信息表、对以前严重急性呼吸综合征幸存者的采访、心理社会支持材料以及振奋人心的文献、插画故事书和艺术品。
本文描述了规划和实施干预措施的过程，并报告了其初步效果。初步反馈表明干预措施得到了积极响应。10 名受访者中的 9 名（90%）对他们的住院体验给予了最高 5 星评价，所有 10 名受访者（100%）对心理社会支持材料给予了 5 星评价。管理这些患者的医生还观察到，在部署 iPad 后，常见问题的数量有所减少。
本质量改进项目正在进行中，并计划进一步研究如何在新发疾病流行期间更好地满足隔离患者的心理社会需求。本报告是根据《质量改进报告卓越标准》编写的。
