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多媒体动画作为巴西公立医院急诊腹部手术术前指导的可行性。

Feasibility of multimedia animations as preoperative guides for urgent abdominal surgeries in a public hospital in Brazil.

机构信息

Centre for Global Surgery, Department of Experimental Surgery, McGill University, 1650 Cedar Avenue, Room L9-505, Montreal, QC H3G 1A4, Canada.

Hospital das Clínicas, Universidade de São Paulo, Rua, Av. Dr. Enéas Carvalho de Aguiar, 255 - Cerqueira César, São Paulo, SP 05403-000, Brazil.

出版信息

Health Educ Res. 2022 Sep 23;37(5):333-354. doi: 10.1093/her/cyac023.

Abstract

Health literacy, culture and language play vital roles in patients' understanding of health issues. Obstacles are more evident in low- and middle-income countries (LMICs), where inadequate patient education levels are higher and hospital resources are lower. This is a prospective pilot study assessing the feasibility of digital preoperative animations as guides for surgical patients. Patients admitted to a public hospital in Brazil for acute cholecystitis or appendicitis were included. Feasibility was represented by acceptability rate and ease of integration with department protocols. Thirty-four patients were included, and 26 patients concluded the intervention (76.5% acceptability rate). Demographic factors seemed to affect the results, indicated by higher acceptability from those with lower education levels, from younger patients and from women. Few studies have evaluated the use of multimedia resources for surgical patients, and no studies assessed the use of animations as digital patient education resources in an LMIC. This study demonstrated that the use of animations for patient education in LMICs is feasible. A step-based approach is proposed to aid the implementation of patient education digital interventions. The use of digital multimedia animations as preoperative guides in LMICs is feasible. It may help improve patient education and promote clinical benefits.

摘要

健康素养、文化和语言在患者对健康问题的理解中起着至关重要的作用。在中低收入国家(LMICs),这些障碍更为明显,这些国家的患者教育水平较低,医院资源较少。这是一项评估数字术前动画作为外科患者指南的可行性的前瞻性试点研究。研究纳入了巴西一家公立医院因急性胆囊炎或阑尾炎住院的患者。可行性由可接受率和与科室协议的整合难易程度来表示。共纳入 34 名患者,26 名患者完成了干预(可接受率为 76.5%)。人口统计学因素似乎影响了结果,受教育程度较低、年龄较小和女性患者的接受率更高。很少有研究评估多媒体资源在外科患者中的使用情况,也没有研究评估在 LMIC 中使用动画作为数字患者教育资源。本研究表明,在 LMICs 中使用动画进行患者教育是可行的。提出了一种基于步骤的方法来帮助实施患者教育数字干预措施。在 LMICs 中,使用数字多媒体动画作为术前指南是可行的。它可能有助于改善患者教育并促进临床获益。

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