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腰椎穿刺患者视频可增加知识并减少不确定性:一项随机对照试验。

Lumbar puncture patient video increases knowledge and reduces uncertainty: An RCT.

作者信息

Babapour Mofrad Rosha, Fruijtier Agnetha D, Visser Leonie N C, Hoogland Nina, van Dijk Maisa, van Rossum Frederique, Bouwman Femke H, Smets Ellen M A, Teunissen Charlotte E, van der Flier Wiesje M

机构信息

Neurochemistry Laboratory and Biobank Department of Clinical Chemistry, Amsterdam Neuroscience VU University Medical Center Amsterdam Amsterdam UMC Amsterdam the Netherlands.

Department of Neurology, Alzheimer Center, Neuroscience Campus Amsterdam VU University Medical Center Amsterdam UMC Amsterdam the Netherlands.

出版信息

Alzheimers Dement (N Y). 2021 Feb 14;7(1):e12127. doi: 10.1002/trc2.12127. eCollection 2021.

Abstract

BACKGROUND

Patients often perceive a lumbar puncture (LP) as an invasive procedure. We aimed to evaluate the impact of a 3-minute educational animation-video explaining the LP procedure, on patients' knowledge, uncertainty, anxiety, and post-LP complications.

METHODS

We included 203 newly referred memory clinic patients, who were randomly assigned to one of three conditions: (1) home viewing of the video, (2) clinic viewing of the video, or (3) control condition (care as usual). Participants completed questionnaires measuring knowledge as information recall, uncertainty, anxiety, and post-LP complications, the latter when patients underwent an LP procedure (n = 145).

RESULTS

Viewing the video increased information recall for both home (< .001), and clinic viewers (< .001) compared to controls. Levels of uncertainty decreased after viewing (.044), particularly for clinic viewers. Viewing the video or not did not affect anxiety and post-LP complications.

DISCUSSION

Preparing individuals for an LP by means of an educational video can help to increase knowledge about the procedure and reduce feelings of uncertainty.

摘要

背景

患者通常将腰椎穿刺(LP)视为一种侵入性操作。我们旨在评估一段解释LP操作的3分钟教育动画视频对患者的知识、不确定性、焦虑及LP后并发症的影响。

方法

我们纳入了203名新转诊至记忆门诊的患者,他们被随机分配到以下三种情况之一:(1)在家观看视频;(2)在门诊观看视频;或(3)对照情况(照常护理)。参与者完成了测量知识(作为信息回忆)、不确定性、焦虑及LP后并发症的问卷,后者在患者接受LP操作时进行测量(n = 145)。

结果

与对照组相比,在家观看视频的患者(<.001)和在门诊观看视频的患者(<.001)的信息回忆均有所增加。观看视频后不确定性水平降低(.044),尤其是门诊观看者。观看视频与否不影响焦虑及LP后并发症。

讨论

通过教育视频让个体为LP做好准备有助于增加对该操作的了解并减少不确定性感受。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e35/7882513/f78b92b2c777/TRC2-7-e12127-g001.jpg

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