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Experience of Emergency Department Patients With Using the Talking Pole Device: Prospective Interventional Descriptive Study

机译:急诊科患者使用会说话的杆装置的经验:前瞻性干预描述性研究

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Background Patient engagement is important. However, it can be difficult in emergency departments (EDs). Objective The aim of this study was to evaluate the satisfaction of ED patients using a patient-friendly health information technology (HIT) device, the “Talking Pole,” and to assess the factors relevant to their satisfaction. Methods This study was conducted in May 2017 at the ED of a tertiary hospital. The “Talking Pole” is a smartphone-based device attached to a intravenous infusion pole with sensors. It is capable of sensing patient movement and fluid dynamics. In addition, it provides clinical information from electronic medical records to patients and serves as a wireless communication tool between patients and nurses. Patients and caregivers who entered the observation room of the ED were selected for the study. The “Talking Pole” devices were provided to all participants, regardless of their need for an intravenous pole upon admittance to the ED. After 2 hours, each participant was given an 18-item questionnaire created for this research, measured on a 5-point Likert scale, regarding their satisfaction with “Talking Pole.” Results Among 52 participants recruited, 54% (28/52) were patients and the remaining were caregivers. In total, 38% (20/52) were male participants; the average age was 54.6 (SD 12.9) years, and 63% (33/52) of the participants were oncology patients and their caregivers. The overall satisfaction rate was 4.17 (SD 0.79 ) points. Spearman correlation coefficient showed a strong association of “overall satisfaction” with “comparison to the previous visit” (ρ=.73 ), “perceived benefit” (ρ=.73), “information satisfaction” (ρ=.70), and “efficiency” (ρ=.70). Conclusions In this study, we introduced a patient-friendly HIT device, the “Talking Pole.” Its architecture focused on enhancing information delivery, which is regarded as a bottleneck toward achieving patient engagement in EDs. Patient and caregiver satisfaction with the “Talking Pole” was positive in the ED environment. In particular, correlation coefficient results improved our understanding about patients’ satisfaction, HIT devices, and services used in the ED.
机译:背景患者的参与很重要。但是,在急诊科(ED)中可能很困难。目的本研究的目的是使用对患者友好的健康信息技术(HIT)设备“谈话杆”评估ED患者的满意度,并评估与其满意度相关的因素。方法该研究于2017年5月在三级医院急诊室进行。 “通话杆”是基于智能手机的设备,通过传感器连接到静脉输液杆。它能够感应患者的运动和流体动力学。此外,它还可以从电子病历向患者提供临床信息,并充当患者和护士之间的无线通信工具。选择进入急诊室观察室的患者和护理人员进行研究。向所有参与者提供了“ Talking Pole”设备,无论他们在接受ED时是否需要静脉输液杆。 2小时后,每位参与者都会获得一份针对本研究创建的18项调查问卷,问卷以5点李克特量表进行衡量,以表示他们对“会说话的人”的满意度。结果在52名参与者中,有54%(28/52)为患者,其余为护理人员。共有38%(20/52)是男性参与者;平均年龄为54.6(SD 12.9)岁,其中63%(33/52)是肿瘤患者及其护理人员。总体满意度为4.17(SD 0.79)点。 Spearman相关系数显示出“总体满意度”与“与上次访问的比较”(ρ= .73),“感知收益”(ρ= .73),“信息满意度”(ρ= .70)和强相关性“效率”(ρ= .70)。结论在这项研究中,我们引入了一种对患者友好的HIT设备“ Talking Pole”。它的体系结构侧重于增强信息传递,这被视为实现患者参与急诊室的瓶颈。在急诊环境中,患者和护理人员对“谈话杆”的满意度是正面的。尤其是,相关系数结果提高了我们对患者满意度,HIT设备和ED中使用的服务的了解。

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