Poulsen Helle, Wolderslund Maiken, Iversen Else Dalsgaard, Clemensen Jane, Ammentorp Jette, Kofoed Poul-Erik
Department of Surgery, Lillebaelt Hospital, University Hospital of Southern Denmark, DK-6000 Kolding, Denmark.
Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, DK-5000 Odense, Denmark.
PEC Innov. 2023 Mar 27;2:100150. doi: 10.1016/j.pecinn.2023.100150. eCollection 2023 Dec.
This pre-post intervention study investigated the effectiveness of the Patient Care Board (PCB) as a tool to increase the participation of patients and relatives during hospital ward rounds.
Using The Activity Barometer (TAB), we rated 121 video-recorded rounds to compare participation before and after implementing the PCB into clinical practice. Associations between scores for the extent to which patients ask questions or express preferences and concerns were tested with multiple linear regression.
TAB-scores tended to be higher after implementing the PCB, especially for the relatives. However, no significant differences were found. The greatest impact on participation was time spent on rounds (p < 0.001). Preparing questions in advance of the round, as well as using anatomical drawings for explanations, increased patient participation (p = 0.041, 0.024). Furthermore, the implementation of the PCB led to higher nurse attendance (p = 0.003).
Although we found tendencies towards higher participation, the study could not confirm a significant impact of the overall intervention.
Our results suggest that further research is needed, to ensure a higher degree of preparation among the patients, better opportunities for relatives to participate as well as integration of visual information in the rounds.
这项干预前后的研究调查了患者护理板（PCB）作为一种增加患者及其亲属在医院查房期间参与度的工具的有效性。
我们使用活动晴雨表（TAB）对121次视频记录的查房进行评分，以比较将PCB应用于临床实践前后的参与度。通过多元线性回归测试患者提问或表达偏好及担忧程度的得分之间的关联。
实施PCB后，TAB评分往往更高，尤其是亲属的评分。然而，未发现显著差异。对参与度影响最大的是查房所花费的时间（p < 0.001）。查房前提前准备问题以及使用解剖图进行解释可提高患者的参与度（p = 0.041，0.024）。此外，实施PCB导致护士出勤率更高（p = 0.003）。
尽管我们发现参与度有提高的趋势，但该研究无法证实整体干预有显著影响。
我们的结果表明，需要进一步研究，以确保患者有更高程度的准备、亲属有更好的参与机会以及在查房中整合视觉信息。
