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危地马拉针对慢性肾脏病患儿照顾者的多媒体项目。

A multimedia program for caregivers of pediatric patients with chronic kidney disease in Guatemala.

机构信息

Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala; Center for Health Studies, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala; Paul G. Allen School for Global Health, Washington State University, 1155 NE College Ave, Pullman, WA 99164, United States.

Department of Pharmaceutical Chemistry, Universidad del Valle de Guatemala, 18 Avenida 11-95, Guatemala City, Guatemala 01015, Guatemala.

出版信息

J Pediatr Nurs. 2023 Nov-Dec;73:67-71. doi: 10.1016/j.pedn.2023.08.016. Epub 2023 Aug 28.

DOI:10.1016/j.pedn.2023.08.016
PMID:37647790
Abstract

OBJECTIVES

A multimedia medication training program for parents and legal guardians of children with chronic kidney disease (CKD) aimed to improve comprehension CKD and general information about medications used in pediatric patients attending The Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City).

METHODS

A quasi-experimental study was carried out to measure the impact of the educational intervention on medication knowledge, at FUNDANIER from September to October 2019. Means and standard deviations was used to described test results. A Wilcoxon test was performed, to compare scores of pre and post-tests. Odds Ratio (OR) was used to determine if there was an improvement in the knowledge score before and after the intervention. Results There was significant improvement in knowledge scores knowledge before and after the intervention(27/35 versus 33/35, P < 0.005). Mestizo participants had higher odds of improvement before and after the intervention (OR 7, CI: 0.6-78). Parent-guardians with prior education, and who spoke Spanish had higher odds of improved knowledge scores (OR 3.2, CI:0.3-35; OR 1.1 CI: 0.1-14 respectively).

CONCLUSION

Caregivers who participated in the educational workshop improved and retained information related to CKD comprehension and medications used. This study provides a model for educational modules that can be used, tested, and applied in other chronic disease settings in low to middle income countries.

PRACTICE IMPLICATIONS

A culturally relevant multimedia CKD educational platform was effective in improving medication knowledge among parent/guardians of children with CKD in a low literacy setting.

摘要

目的

为了提高慢性肾脏病(CKD)患儿的家长和法定监护人对 CKD 的理解以及儿科患者用药的一般知识,开发了一个多媒体用药培训项目,该项目针对的是危地马拉城的儿童肾脏病基金会(FUNDANIER)的儿童。

方法

2019 年 9 月至 10 月,在 FUNDANIER 进行了一项准实验研究,以衡量教育干预对药物知识的影响。采用均数和标准差来描述测试结果。采用 Wilcoxon 检验比较前后测试的分数。采用比值比(OR)来确定干预前后知识评分是否有所提高。结果:干预前后知识评分有显著提高(27/35 比 33/35,P<0.005)。干预前后,混血儿参与者的知识评分提高的可能性更高(OR 7,CI:0.6-78)。具有先前教育背景、讲西班牙语的父母/监护人提高知识评分的可能性更高(OR 3.2,CI:0.3-35;OR 1.1,CI:0.1-14)。

结论

参加教育研讨会的护理人员提高并保留了与 CKD 理解和使用药物相关的信息。本研究为在中低收入国家的其他慢性疾病环境中使用、测试和应用教育模块提供了一个模型。

实践意义

在低识字环境中,基于文化的多媒体 CKD 教育平台在提高 CKD 患儿家长/监护人的药物知识方面是有效的。

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