| Author: | Chu, Yin Man |
| Title: | The effectiveness of a customized interactive education system for minor stroke at early acute phase |
| Advisors: | Choi, Thomas (SN) |
| Degree: | DHSc |
| Year: | 2020 |
| Subject: | Cerebrovascular disease -- Patients Patient education Hong Kong Polytechnic University -- Dissertations |
| Department: | Faculty of Health and Social Sciences |
| Pages: | xvi, 181 pages : color illustrations |
| Language: | English |
| Abstract: | Objectives: The aim of the study was to examine the applicability of the Customized Interactive Computer Education System (CICS) - a self-developed patient education system for stroke patients - and its effects. The objectives were to investigate the effect of CICS for minor stroke patients in early acute phase, with objective measures (1) information satisfaction, (2) illness perception, (3) anxiety level and (4) physiological related management compliance. Design: A non-blinded randomized controlled study design was used to compare the intervention (CICS) group and control (Booklet) group. The study was conducted in an Acute Stroke Unit (ASU) of a local hospital. Participants: Participants were selected if they were age at least 18, admitted from Accident and Emergency Department, suffered from stroke with severity less than 6 by National Institute Health and Stroke Scale (NIHSS), and were admitted for the first time due to ischaemic stroke. Both CISC and Booklet groups composed 50 participants. Their mean age was 62.92±10.8 years. Male to female ratio was 7:3. Their mean NIHSS score was 2.28±1.87 on the first day of admission. Intervention: On the first day of admission, the intervention group received usual patient education. A computer tablet with the Customized Interactive Computer Education System would then be offered to them after explaining the usage. The control group received usual patient education, a pictorial information booklet covering the key content of the CICS. On the third day of admission, both groups would answer questionnaires to assess the outcomes. Outcome measures: The outcome measurement included 1) Information satisfaction questionnaire (MISQ-S) (Chinese version), 2) Chinese Brief Illness Perception questionnaire (CBIPQ), 3) Hospital Anxiety and Depression Scale -Anxiety Scale (HADS-A), 4) management compliance and 5) change in NIHSS score. Results: Statistical test had been performed on the data from these two groups. It was found that most items on MISQ-S did not have significant difference, except "the need to improve information measures", where CICS group had a significant lower score, i.e. lower need (with p=0.04). For CBIPQ, the score on the severity of symptom (illness identity) was significant lower in the CICS group (p=0.00), which agreed more closely to their conditions. Anxiety level of both groups was above 6, which was above the cut off level 3 for undue anxiety. There was no significant difference on anxiety level between the two groups, so as management compliance and change in NIHSS score. Conclusion: Although the overall result showed that the advantageous of the proposed CICS was not statistically significant, it should note that the need for information improvement and illness identity was less for the CICS group, of which many results of the outcome measures also tended to be positive. The study provides insights into and gives a direction to the use of information technology in patient education. There is a need to further develop the patient education system and study the effect, not only for stroke patients, but also different areas in health care. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 5060.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 4.32 MB | Adobe PDF | View/Open |
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