Goldstein N L, Snyder M, Edin C, Lindgren B, Finkelstein S M
Clin Nurs Res. 1996 May;5(2):150-66. doi: 10.1177/105477389600500204.
Two strategies for teaching lung and heart-lung transplant subjects to use an electronic spirometer/diary instrument at home to input and transmit daily respiratory, vital sign, and symptom measurements were compared. The first strategy integrated teaching into subjects' postoperative clinic visits, whereas the second strategy involved referral to a Patient Learning Center (PLC) for instruction. Adherence was increased by 30% when the teaching was transferred from the clinic setting to the PLC. These findings suggest that the PLC is an effective resource for preparing patients to manage their care after discharge from a hospital or clinic.
比较了两种教授肺移植和心肺移植受试者在家使用电子肺活量计/日记仪器输入和传输每日呼吸、生命体征及症状测量数据的策略。第一种策略是将教学融入受试者的术后门诊就诊过程，而第二种策略是将受试者转介到患者学习中心（PLC）接受指导。当教学从门诊环境转移到PLC时，依从性提高了30%。这些发现表明，PLC是帮助患者在出院后做好自我护理准备的有效资源。
