PDF(Pubmed)
Abstract：
BACKGROUND: Multimedia interventions may play an important role in improving patient care and reducing the time constraints of patient-clinician encounters. The \"MyStay Cardiac\" multimedia resource is an innovative program designed to be accessed by adult patients undergoing cardiac surgery.
OBJECTIVE: The purpose of this study was to evaluate the uptake of the MyStay Cardiac both during and following the COVID-19 pandemic.
METHODS: A prospective observational study design was used that involved the evaluation of program usage data available from the digital interface of the multimedia program. Data on usage patterns were analyzed for a 30-month period between August 2020 and January 2023. Usage patterns were compared during and following the lifting of COVID-19 pandemic restrictions. Uptake of the MyStay Cardiac was measured via the type and extent of user activity data captured by the web-based information system.
RESULTS: Intensive care unit recovery information was the most accessed information, being viewed in approximately 7 of 10 usage sessions. Ward recovery (n=124/343, 36.2%), goal (n=114/343, 33.2%), and exercise (n=102/343, 29.7%) information were routinely accessed. Most sessions involved users exclusively viewing text-based information (n=210/343, 61.2%). However, in over one-third of sessions (n=132/342, 38.5%), users accessed video information. Most usage sessions occurred during the COVID-19 restriction phase of the study (August 2020-December 2021). Sessions in which video (P=.02, phi=0.124) and audio (P=.006, phi=0.161) media were accessed were significantly more likely to occur in the restriction phase compared to the postrestriction phase.
CONCLUSIONS: This study found that the use of digital multimedia resources to support patient education was well received and integrated into their practice by cardiac nurses working in acute care during the COVID-19 pandemic. There was a pattern for greater usage of the MyStay Cardiac during the COVID-19 pandemic when access to the health service for nonfrontline, essential workers was limited.
OBJECTIVE: The purpose of this study was to evaluate the uptake of the MyStay Cardiac both during and following the COVID-19 pandemic.
METHODS: A prospective observational study design was used that involved the evaluation of program usage data available from the digital interface of the multimedia program. Data on usage patterns were analyzed for a 30-month period between August 2020 and January 2023. Usage patterns were compared during and following the lifting of COVID-19 pandemic restrictions. Uptake of the MyStay Cardiac was measured via the type and extent of user activity data captured by the web-based information system.
RESULTS: Intensive care unit recovery information was the most accessed information, being viewed in approximately 7 of 10 usage sessions. Ward recovery (n=124/343, 36.2%), goal (n=114/343, 33.2%), and exercise (n=102/343, 29.7%) information were routinely accessed. Most sessions involved users exclusively viewing text-based information (n=210/343, 61.2%). However, in over one-third of sessions (n=132/342, 38.5%), users accessed video information. Most usage sessions occurred during the COVID-19 restriction phase of the study (August 2020-December 2021). Sessions in which video (P=.02, phi=0.124) and audio (P=.006, phi=0.161) media were accessed were significantly more likely to occur in the restriction phase compared to the postrestriction phase.
CONCLUSIONS: This study found that the use of digital multimedia resources to support patient education was well received and integrated into their practice by cardiac nurses working in acute care during the COVID-19 pandemic. There was a pattern for greater usage of the MyStay Cardiac during the COVID-19 pandemic when access to the health service for nonfrontline, essential workers was limited.
摘要：
背景：多媒体干预可能在改善患者护理和减少患者与临床医生相遇的时间限制方面发挥重要作用。“MyStayCardiac”多媒体资源是一项创新计划，旨在由接受心脏手术的成年患者访问。
目的：这项研究的目的是评估COVID-19大流行期间和之后MyStay心脏的摄取。
方法：使用了前瞻性观察性研究设计，该设计涉及对多媒体程序的数字界面上的程序使用数据进行评估。对2020年8月至2023年1月的30个月期间的使用模式数据进行了分析。在解除COVID-19大流行限制期间和之后，比较了使用模式。通过基于网络的信息系统捕获的用户活动数据的类型和程度来测量MyStay心脏的摄取。
结果：重症监护病房康复信息是访问量最大的信息，在大约10个使用会话中的7个中查看。病房恢复（n=124/343，36.2%），目标（n=114/343，33.2%），和运动(n=102/343，29.7%)信息被常规访问。大多数会话涉及用户专门查看基于文本的信息（n=210/343，61.2％）。然而,在超过三分之一的会议中(n=132/342，38.5%)，用户访问视频信息。大多数使用过程发生在研究的COVID-19限制阶段（2020年8月至2021年12月）。与限制后阶段相比，访问视频（P=.02，phi=0.124）和音频（P=.006，phi=0.161）媒体的会话在限制阶段更有可能发生。
结论：这项研究发现，在COVID-19大流行期间，在急性护理中工作的心脏护士对使用数字多媒体资源支持患者教育的做法很受欢迎，并将其纳入实践。在COVID-19大流行期间，当非前线人员获得医疗服务时，有一种更多使用MyStay心脏的模式，基本工人是有限的。
目的：这项研究的目的是评估COVID-19大流行期间和之后MyStay心脏的摄取。
方法：使用了前瞻性观察性研究设计，该设计涉及对多媒体程序的数字界面上的程序使用数据进行评估。对2020年8月至2023年1月的30个月期间的使用模式数据进行了分析。在解除COVID-19大流行限制期间和之后，比较了使用模式。通过基于网络的信息系统捕获的用户活动数据的类型和程度来测量MyStay心脏的摄取。
结果：重症监护病房康复信息是访问量最大的信息，在大约10个使用会话中的7个中查看。病房恢复（n=124/343，36.2%），目标（n=114/343，33.2%），和运动(n=102/343，29.7%)信息被常规访问。大多数会话涉及用户专门查看基于文本的信息（n=210/343，61.2％）。然而,在超过三分之一的会议中(n=132/342，38.5%)，用户访问视频信息。大多数使用过程发生在研究的COVID-19限制阶段（2020年8月至2021年12月）。与限制后阶段相比，访问视频（P=.02，phi=0.124）和音频（P=.006，phi=0.161）媒体的会话在限制阶段更有可能发生。
结论：这项研究发现，在COVID-19大流行期间，在急性护理中工作的心脏护士对使用数字多媒体资源支持患者教育的做法很受欢迎，并将其纳入实践。在COVID-19大流行期间，当非前线人员获得医疗服务时，有一种更多使用MyStay心脏的模式，基本工人是有限的。
