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肺康复教育部分在实践中是如何实施的——是以患者为中心吗?

How is the education component of pulmonary rehabilitation delivered in practice--Is it patient-centred?

机构信息

School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.

Nursing & Health Care School, University of Glasgow, Glasgow, UK.

出版信息

Clin Respir J. 2021 Jul;15(7):835-842. doi: 10.1111/crj.13371. Epub 2021 May 5.

DOI:10.1111/crj.13371
PMID:33825323
Abstract

OBJECTIVES

Pulmonary rehabilitation (PR) involves a significant component of education, but little has been published on what educational content is covered or how it is delivered. This survey study set out to investigate how PR education is delivered in practice.

METHODS

A survey was designed to investigate the current educational delivery and which topics respondents reported should be included in a PR programme. The survey was sent to 11 Scottish PR Action group regional leads.

RESULTS

Nine completed the questionnaire (81.8%). Education was reported to be predominately group-based and face-to-face (n = 9, 100%) consisting of between 6 and 12 sessions. Most educational topics lasted 15 min or less, some topic areas were not consistently covered. The educational content was variable and not personalised to individual needs. Three health areas undertook informal literacy assessment at baseline assessment and when tailoring COPD plans. Often attendance at educational sessions was not needed to 'complete' PR.

CONCLUSIONS

Content and delivery of educational topics were varied, and no consistent outcome measure to assess the effectiveness of education was used.

PRACTICE IMPLICATIONS

Education needs to be delivered in a patient-centred way tailoring for literacy skills using a range of different teaching approaches and aids.

摘要

目的

肺康复(PR)包含一个重要的教育组成部分,但关于所涵盖的教育内容或其传递方式,相关文献报道较少。本调查研究旨在调查 PR 教育在实践中的实际开展情况。

方法

设计了一项调查,以调查当前的教育传递方式,以及受访者报告的哪些主题应包含在 PR 项目中。该调查被发送给 11 位苏格兰 PR 行动组区域负责人。

结果

9 人完成了问卷调查(81.8%)。教育主要以小组为基础,以面对面的形式(n=9,100%)进行,包括 6 到 12 次课程。大多数教育主题持续 15 分钟或更短,一些主题领域并未得到持续覆盖。教育内容存在差异,且未针对个人需求进行个性化定制。有三个健康领域在基线评估和制定 COPD 计划时进行了非正式的识字能力评估。通常,参加教育课程并不是完成 PR 的必要条件。

结论

教育主题的内容和传递方式存在差异,且未使用一致的结果衡量标准来评估教育的效果。

实践意义

教育需要以患者为中心的方式进行,根据读写能力调整内容,使用各种不同的教学方法和辅助手段。

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