Author Affiliations: Department of Information Sciences, Bar Ilan University, Ramat Gan (Zhitomirsky and Aharony), and Department of Nursing, Hadassah Medical Center, Jerusalem (Zhitomirsky), Israel.
Comput Inform Nurs. 2023 May 1;41(5):356-364. doi: 10.1097/CIN.0000000000000939.
This study examined the impact of digital training instrument based on multimodal learning approach on surgical ward hospitalized patient education-related variables. The study was conducted as a multisite study in a large medical center as a two-arm, controlled trial with randomized cluster sampling. All patients meeting the inclusion criteria were offered the opportunity to participate. The control group (n = 40) received nurse explanation on home self-injection of enoxaparin sodium, whereas the intervention group (n = 40) received a tablet for multimodal learning specifically developed for this study. All participants completed before-and-after questionnaires evaluating knowledge acquisition, change in self-efficacy, and patient satisfaction. Results showed that the intervention group gained significantly more knowledge than the control group ( P < .01). There was no significant difference in the level of self-efficacy change between the groups, and it was found that the control group patients were more satisfied with the training process ( P = .01). This study shows that the use of a digital application for the benefit of patients' self-injection learning is effective in achieving educational goals such as knowledge acquisition and therefore can be a helpful resource for caregivers. Yet, these applications are not a substitute for attention provided by professionals, which is highly valued by patients.
本研究旨在探讨基于多模态学习方法的数字化培训工具对与外科病房住院患者教育相关变量的影响。该研究采用多中心、两臂、对照临床试验设计,采用随机整群抽样方法进行。所有符合纳入标准的患者均有机会参与。对照组(n=40)接受护士关于依诺肝素钠家庭自我注射的讲解,而干预组(n=40)则接受专门为本研究开发的用于多模态学习的平板电脑。所有参与者在接受培训前后均完成了问卷,评估知识获取、自我效能变化和患者满意度。结果显示,干预组的知识获取量明显高于对照组(P<.01)。两组自我效能变化水平无显著差异,且发现对照组患者对培训过程更满意(P=.01)。本研究表明,使用数字化应用程序有利于患者进行自我注射学习,可有效实现知识获取等教育目标,因此可为护理人员提供有益资源。然而,这些应用程序并不能替代专业人员提供的关注,而这是患者非常看重的。