Consoli S M, Ben Said M, Jean J, Menard J, Plouin P F, Chatelier G
Department of Medical Psychology, Broussais Hospital, Paris, France.
J Hum Hypertens. 1996 Feb;10 Suppl 1:S69-72.
Medical education of hypertensives as well as of other asymptomatic cardiovascular risk patients requires individualized, interactive and attractive strategies. Electronic teaching set up in hospital or clinic settings opens the way of the future, saving time and allowing more advantageous use of caretakers. ISIS (Initiation Sanitaire Informatisee et Scenarisee), a French computer assisted program for cardiovascular risk patients, combines a scientific information, divided in 12 sequential but independent modules, with a recreative imaginary trip in the world of ancient Egypt. To test the impact of this tool on patient health information retention, 158 hypertensives hospitalized in a day-hospital clinic were randomized into an intervention or ISIS group (IG, n = 79) and a control group (CG, n = 79). Both groups received cardiovascular education through standard means. In addition, IG patients underwent a 30 to 60 min session on the computer. Cardiovascular knowledge was tested by a nurse administering a standardized 28-item questionnaire before and two months after education. Retesting was done by telephone interview. A total of 138 completed questionnaires (69 from each group) were analyzed. Overall mean cardiovascular knowledge score before education (14.3 +/- 4.2, range 4-25) improved significantly after education (3.7 +/- 3.5, p = 0.0001). This improvement was more important in the IG than the CG (3.8 +/- 3.6 vs 2.4 +/- 3.2 respectively, p = 0.02), especially in hypertensives having a known disease for more than six months. Isis is now available in two languages: French and English. Patients' satisfaction and the conclusion of this comparative trial encourage confirmation of these first results in other French or English speaking populations, in order to test the long term effects of structured electronic teaching sessions on health behaviour, and to promote a wide use of computers and multimedia communication in hypertension control programs.
对高血压患者以及其他无症状心血管风险患者的医学教育需要个性化、互动性和有吸引力的策略。在医院或诊所环境中建立的电子教学为未来开辟了道路，节省了时间，并能让护理人员得到更有效的利用。ISIS（Initiation Sanitaire Informatisee et Scenarisee）是一个针对心血管风险患者的法国计算机辅助项目，它将科学信息（分为12个连续但独立的模块）与一次古埃及世界的创意想象之旅相结合。为了测试这个工具对患者健康信息保留的影响，158名在日间医院诊所住院的高血压患者被随机分为干预组或ISIS组（IG，n = 79）和对照组（CG，n = 79）。两组都通过标准方式接受心血管教育。此外，IG组患者在电脑上进行了30至60分钟的课程学习。心血管知识由一名护士在教育前和教育后两个月通过一份标准化的28项问卷进行测试。重新测试通过电话访谈进行。总共分析了138份完成的问卷（每组69份）。教育前心血管知识的总体平均得分（14.3 +/- 4.2，范围4 - 25）在教育后显著提高（3.7 +/- 3.5，p = 0.0001）。这种提高在IG组比CG组更明显（分别为3.8 +/- 3.6和2.4 +/- 3.2，p = 0.02），特别是在患病超过六个月的高血压患者中。ISIS现在有法语和英语两种语言版本。患者的满意度以及这项比较试验的结果鼓励在其他说法语或英语的人群中确认这些初步结果，以便测试结构化电子教学课程对健康行为的长期影响，并促进计算机和多媒体通信在高血压控制项目中的广泛应用。
