关于活体肾供体手术并发症的患者教育视频的开发与初步评估
Development and Preliminary Evaluation of a Patient-facing Educational Video About Live Kidney Donor Surgical Complications.
作者信息
Smith Sophia, Haseley Nicole, Keller Maria, Cadzow Renee, Feeley Thomas H, Kayler Liise K
机构信息
Department of Surgery, Transplant and Kidney Care Regional Center of Excellence, Erie County Medical Center, Buffalo, NY.
Department of Community Health and Health Behavior, State University of New York at Buffalo, Buffalo, NY.
出版信息
Transplant Direct. 2021 Aug 6;7(9):e744. doi: 10.1097/TXD.0000000000001194. eCollection 2021 Sep.
BACKGROUND
Living kidney donation (LKD) improves transplant access; however, its use is compromised, in part, by individuals' unaddressed concerns about perioperative complications.
METHODS
We developed an animated, patient-centered educational video about LKD surgical complications, with input from experts in transplantation, communication, and anthropology, 35 patients/care partners (5 LKD candidates, 5 prior LKDs, 10 kidney transplant recipients, 10 kidney transplant candidates, 5 care partners), and 1 community advocate. We then conducted an online pre-post study with 24 potential kidney donors and recipients to measure the video's acceptability and feasibility to improve donation complication knowledge and concerns.
RESULTS
Knowledge of LKD surgical complications increased 23% (mean 5.7 to 7.0, < 0.01) from pre- to post- animation viewing. Large knowledge effect size increases were observed for different levels of age, race, health literacy, and technology access. The frequency of positive responses about donation safety increased from 88% preanimation to 96% postanimation. Concerns about surgical complications remained at 17% before and after exposure. After viewing the animation, over 90% indicated positive ratings on ease of watching, understanding, and engaging.
CONCLUSIONS
An animated educational video about LKD surgical complications was developed in collaboration with multiple stakeholders. The video was well received and promised to positively impact individuals' knowledge and concerns.
背景
活体肾捐赠（LKD）改善了移植途径；然而，其应用在一定程度上受到个人对围手术期并发症未解决的担忧的影响。
方法
我们在移植、沟通和人类学专家、35名患者/护理伙伴（5名LKD候选人、5名既往LKD者、10名肾移植受者、10名肾移植候选人、5名护理伙伴）以及1名社区倡导者的参与下，制作了一部以患者为中心的关于LKD手术并发症的动画教育视频。然后，我们对24名潜在的肾捐赠者和受者进行了一项在线前后研究，以评估该视频在提高捐赠并发症知识和担忧方面的可接受性和可行性。
结果
观看动画前后，对LKD手术并发症的了解增加了23%（平均从5.7提高到7.0，<0.01）。在不同年龄、种族、健康素养和技术获取水平上，均观察到较大的知识效应量增加。对捐赠安全性的积极回应频率从动画前的88%增加到动画后的96%。对手术并发症的担忧在接触前后均保持在17%。观看动画后，超过90%的人对观看的便利性、理解性和参与性给予了积极评价。
结论
与多个利益相关者合作开发了一部关于LKD手术并发症的动画教育视频。该视频受到好评，并有望对个人的知识和担忧产生积极影响。
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