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Innovation of patient education using a movie-like visual media in living donor liver transplantation

电影式视觉媒体在活体肝移植患者教育中的创新

基本信息

批准号：
14571148
负责人：
INOMATA Yukihiro
金额：
$ 1.15万
依托单位：
Kumamoto University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2003
项目状态：
已结题

项目摘要

In living donor liver transplantation, the procedure and the peri-and post-operative care is not widely known for ordinary people in Japan. Better understanding will make the patients better adapted to the post-operative condition. For this aim, a film was made for the patient education. It included the operative procedure presented by animation, information about the operative risk of the both the donor and recipient, realistic images of post operative care in the ICU and the ward, explanation about the drug like immunosuppressants, and recommendations about the daily life after the discharge from the hospital. Whole or a part of the film was shown to both the patient and the donor/donor candidate taking the appropriate chance before and after the transplantation. Personal computer connected with the mobile projector was used for the viewing.It assisted the family members of the case to share the time thinking about the operation. The donor candidates could easily realize the possible risk of the procedure in decision making before the operation. Incidence of the "ICU syndrome" decreased in the recipients who had watched the film in advance before the operation. Probably the film could make the recipient prepare him/herself better for the care and the situation in the ICU. It could save the time of doctors, nurses, coordinators, and pharmacists, for the patient education with better understanding.In the next step, statistical information should be added and renewed. Narration should be also added so that the film can be more easily watched without oral explanation by accompanying personnel.

在活体供肝移植中，日本普通人并不广为人知的程序和围手术期及术后护理。更好的理解将使患者更好地适应手术后的情况。为此，制作了一部耐心教育的电影。它包括通过动画呈现的手术过程，关于供者和接受者的手术风险的信息，ICU和病房手术后护理的真实图像，关于类似免疫抑制剂的药物的解释，以及关于出院后的日常生活的建议。在移植前后，将整个或部分胶片放映给患者和接受适当机会的供体/供体候选人。使用与移动投影仪连接的个人电脑进行观看，帮助患者家属分享思考手术的时间。捐赠者候选人在手术前的决策中可以很容易地意识到该程序可能存在的风险。术前提前观看电影的受者，“ICU综合征”的发生率降低。也许这部电影可以让接受者为ICU的护理和情况做好更好的准备。它可以节省医生、护士、协调员和药剂师的时间，以便更好地了解患者的教育。下一步，应增加和更新统计信息。还应该增加旁白，这样可以更容易地观看电影，而不需要随行人员的口头解释。