Randomised trial of personalised computer based information for patients with schizophrenia
Randomised trial of personalised computer based information for patients with schizophrenia
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精神分裂症患者个性化计算机信息的随机试验
DOI：
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发表时间：
2001
影响因子：
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通讯作者：
Glasgow Primary
中科院分区：
文献类型：
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作者：
Ray B. Jones;J. Atkinson;D. Coia;L. Paterson;Ross Morton;K. McKenna;N. Craig;J. Morrison;Harper Gilmour;W. Gilmour;Glasgow Primary
摘要目的：比较个性化计算机教育与社区精神科护士教育在精神分裂症患者中的应用、效果和成本。设计：三种干预措施的随机试验。对替代方案的成本进行建模。对象：社区服务接触精神分裂症患者112例，完成干预67例。干预：五次教育会议的三次干预：(A)计算机干预，将患者病历中的信息与有关精神分裂症的一般信息相结合；(B)与社区精神科护士的会议；(C)“组合”(与护士的第一次和最后一次会议，其余与计算机)。主要观察指标：患者就诊、意见、知识变化和心理状态；干预成本和患者使用NHS社区服务的成本；这三种替代干预措施的成本模型。结果：干预完成率无显著差异(联合干预71%，单纯计算机干预61%，单纯护士干预46%)。使用电脑的时间比与护士交谈的时间短(14分钟对60分钟)。接受护理本位教育的患者认为相关信息较多。在联合组的20名患者中，13名患者倾向于与护士交谈，7名患者倾向于使用电脑。两组之间在心理结果上没有显著差异。由于需要将患者转移到电脑上进行治疗，干预措施在成本上没有差异，但电脑治疗与其他患者接触者相结合将大大便宜得多。结论：与社区精神科护士的培训相比，基于计算机的患者教育并不具有优势。结合其他卫生服务接触者调查计算机使用情况将是值得的。在这一主题上已知的对精神分裂症患者的教育效果有限，但基于计算机的方法还没有得到彻底的评估这项研究增加了一种基于计算机的精神分裂症患者教育方法，这种方法利用每个患者的医疗记录中的细节来个性化信息，是可以接受的，并且与社区精神科护士提供的教育课程一样有效。然而，由于需要为患者提供参加会议的交通工具，基于计算机的干预与基于护士的干预一样昂贵，调查在其他常规患者接触中增加基于计算机的教育是值得的
Abstract Objectives: To compare use, effect, and cost of personalised computer education with community psychiatric nurse education for patients with schizophrenia. Design: Randomised trial of three interventions. Modelling of costs of alternatives. Participants: 112 patients with schizophrenia in contact with community services; 67 completed the intervention. Interventions: Three interventions of five educational sessions: (a) computer intervention combining information from patient's medical record with general information about schizophrenia; (b) sessions with a community psychiatric nurse; (c) “combination” (first and last sessions with nurse and remainder with computer). Main outcome measures: Patients' attendance, opinions, change in knowledge, and psychological state; costs of interventions and patients' use of NHS community services; modelling of costs for these three, and alternative, interventions. Results: Rates of completion of intervention did not differ significantly (71% for combination intervention, 61% for computer only, 46% for nurse only). Computer sessions were shorter than sessions with nurse (14 minutes v 60 minutes). More patients given nurse based education thought the information relevant. Of 20 patients in combination group, 13 preferred the sessions with the nurse and seven preferred the computer. There were no significant differences between groups in psychological outcomes. Because of the need to transport patients to the computer for their sessions, there was no difference between interventions in costs, but computer sessions combined with other patient contacts would be substantially cheaper. Conclusions: The computer based patient education offered no advantage over sessions with a community psychiatric nurse. Investigation of computer use combined with other health service contacts would be worth while. What is already known on this topic Education of patients with schizophrenia has limited but positive outcomes Computer based approaches have not been thoroughly evaluated What this study adds A computer based method of education for patients with schizophrenia, which personalised the information with details from each patient's medical record, was acceptable and as effective as educational sessions given by a community psychiatric nurse However, because of the need to provide transport for patients to attend their sessions, the computer based intervention was as costly as the nurse based one Investigating the addition of computer based education to other routine patient contacts would be worthwhile