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你感到担忧,我们在倾听:在线测试提高消费者报告患者病情恶化知识和信心的教育材料的效果。

You're Worried, We're Listening: Online Testing of the Effectiveness of Education Materials to Improve Consumer Knowledge and Confidence in Reporting Patient Deterioration.

机构信息

From the College of Nursing and Health Sciences.

College of Medicine and Public Health.

出版信息

J Patient Saf. 2021 Dec 1;17(8):e1413-e1419. doi: 10.1097/PTS.0000000000000906.

Abstract

OBJECTIVES

Early identification of patient deterioration in hospital is important to reduce mortality, avoidable morbidity, length of stay, and associated healthcare costs. By closely observing physical and behavioral changes, deteriorating patients are more likely to be identified. Patients and family at the bedside can play an important role in reporting deterioration if made aware of how to do so. Therefore, the objective of this study was to undertake an online evaluation of educational materials designed to improve consumers' knowledge and confidence to report patient deterioration.

METHODS

A convenience sample was used to recruit community-based participants for an online survey. A self-designed validated instrument was used to undertake a preintervention and postintervention test involving 3 types of educational materials. Quantitative data were analyzed with Wilcoxon signed rank test to compare participants' knowledge and confidence before and after exposure to the intervention. Conventional content analyses examined responses on key messages and recommendations to improve the educational materials.

RESULTS

A total of 84 respondents completed both prequestionnaires and postquestionnaires. After exposure to the education materials, analyses confirmed that knowledge and confidence scores were significantly higher than baseline measures. Content analyses indicated a clear understanding of the key messages presented in the materials. Four main recommendations were made regarding the education materials.

CONCLUSIONS

Participants readily identified the key messages in the educational materials and demonstrated increased knowledge and confidence to report concerns about deterioration. Further research is required to determine the efficacy of the educational materials in relation to consumer behavior.

摘要

目的

早期识别医院患者病情恶化对于降低死亡率、避免可预防的发病率、缩短住院时间和相关医疗费用至关重要。通过密切观察身体和行为变化,更有可能发现病情恶化的患者。如果让患者及其家属知道如何报告病情恶化,他们可以在报告恶化方面发挥重要作用。因此,本研究的目的是通过在线评估旨在提高消费者报告患者恶化知识和信心的教育材料。

方法

采用方便抽样法招募社区参与者进行在线调查。使用自行设计的经过验证的工具,对 3 种教育材料进行预干预和后干预测试。使用 Wilcoxon 符号秩检验对定量数据进行分析,以比较参与者在接触干预前后的知识和信心。常规内容分析检查了对改进教育材料的关键信息和建议的反应。

结果

共有 84 名受访者完成了前测和后测问卷。在接触教育材料后,分析确认知识和信心得分明显高于基线测量值。内容分析表明,参与者清楚地理解了材料中呈现的关键信息。对教育材料提出了四项主要建议。

结论

参与者很容易识别教育材料中的关键信息,并表现出增加报告恶化相关问题的知识和信心。需要进一步研究来确定教育材料在消费者行为方面的效果。

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