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使用基于在线视频的教育模块对多囊卵巢综合征患者进行生活方式改变和治疗依从性作用的远程评估及强化认知

Remote assessment and reinforcement of patient awareness of role of lifestyle modification and treatment adherence in polycystic ovary syndrome using an online video based educational module.

作者信息

Gour Aniket, Dubey Pankhuri, Goel Archana, Halder Ajay

机构信息

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bhopal, India

出版信息

J Turk Ger Gynecol Assoc. 2022 Mar 8;23(1):1-7. doi: 10.4274/jtgga.galenos.2021.2021-9-29.

Abstract

OBJECTIVE

To evaluate the role of an online, video-based, structured, educational module in increasing awareness in women with polycystic ovary syndrome (PCOS).

MATERIAL AND METHODS

Patients with PCOS were assessed for baseline awareness about PCOS, quantified as “awareness score”, using a validated questionnaire. Topics assessed included factual and conceptual knowledge of the disease and awareness of behaviour-related lifestyle modification and therapy compliance in PCOS. An educational video module was shown to the participants which covered normal menstrual physiology, symptomatology, pathophysiology and natural history of PCOS, a comparative animation of healthy versus unhealthy lifestyle, indications of pharmacological intervention, and role of treatment adherence. The questionnaire was re-administered after exposure to the educational module, and effectiveness of the teaching method was evaluated by comparing pre and post test scores.

RESULTS

The total number of subjects was 41. Baseline knowledge was “fair” in 17.1%, “moderate” in 48.8% and “good” in 34.1%. Significant increase in awareness scores was noted among participants regarding PCOS after exposure to the learning module from 15.09±4.31 to 18.60±3.85 (p<0.00001) with a large effect size (Cohen’s d=0.85). Most (48.8%) of the respondents had baseline awareness in the “moderate” range (scores between; 11-17) whereas post intervention scores improved to the “good” category for 63.4% of the women.

CONCLUSION

The educational module was effective in significantly increasing knowledge about PCOS. Patient education is likely to help reinforce the message about lifestyle modification and continued compliance and may aid in promoting a patient-driven healthcare model in PCOS.

摘要

目的

评估一个基于视频的在线结构化教育模块在提高多囊卵巢综合征(PCOS)女性认识方面的作用。

材料与方法

使用经过验证的问卷对PCOS患者进行PCOS基线认识评估,量化为“认识得分”。评估的主题包括对该疾病的事实性和概念性知识,以及对PCOS中与行为相关的生活方式改变和治疗依从性的认识。向参与者展示了一个教育视频模块,内容涵盖正常月经生理、症状、病理生理和PCOS的自然病史、健康与不健康生活方式的对比动画、药物干预指征以及治疗依从性的作用。在接触教育模块后重新进行问卷调查,并通过比较测试前后的得分来评估教学方法的有效性。

结果

受试者总数为41人。基线知识“一般”的占17.1%,“中等”的占48.8%,“良好”的占34.1%。接触学习模块后,参与者对PCOS的认识得分显著提高,从15.09±4.31提高到18.60±3.85(p<0.00001),效应量较大(科恩d值=0.85)。大多数(48.8%)受访者的基线认识处于“中等”范围(得分在11 - 17之间),而干预后63.4%的女性得分提高到“良好”类别。

结论

该教育模块在显著增加PCOS知识方面有效。患者教育可能有助于强化关于生活方式改变和持续依从性的信息,并可能有助于在PCOS中推广以患者为导向的医疗模式。

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