Abstract:
AIMS:To evaluate the effectiveness of an Avatar application for educating people with acute coronary syndrome (heart attack). BACKGROUND:A lack of understanding of Acute Coronary Syndrome symptoms and appropriate responses often contribute to delay in seeking medical treatment. DESIGN:A single-centre, non-blinded, pragmatic randomized controlled trial. METHODS:Seventy Acute Coronary Syndrome patients were randomly assigned to the intervention (Avatar application) or usual care groups. Participants were followed up at 0, 1, and 6 months. Tobit Growth Curve Model was used to analyse the primary outcome-symptom knowledge; and the secondary outcomes-attitudes and beliefs. Heart attack action plan implementation and health care utilisation were analysed using Chi-square and Mann-Whitney U test. RESULTS:Of the 70 participants, 63% were male and the mean age of the participants was 64.7 (SD 11.7) years. Sixty-six (94.2%) participants completed follow-up. Between group differences on acute coronary syndrome (ACS) Response Index scores were statistically significant at 1-month and 6-month follow-ups (p < .01). The intervention group had a significant improvement in symptom knowledge, attitudes, and beliefs over the 6-month period (p < .001, p = .009, p < .001 respectively); and no significant improvement in the usual care group participants (p = .152, p = .068, p = .228). For healthcare use, at follow-up, there was a significant difference in ambulance use, between the intervention group and the usual care group (33.33% vs. 18.18%, p = .008; cardiac: 88.89% vs. 42.86%; p = .049); 85.14% of participants reported that the application helped them to feel more confident in recognizing and responding to symptoms in the future. CONCLUSION:The education app was effective in improving individuals' ACS knowledge, attitudes, and beliefs. A large multi-centre trial with a longer follow-up to evaluate the intervention's effectiveness on clinical outcomes will be our next step in evaluation. IMPACT:The content of AVATARS (Nurse Cora) app can be translated into different languages and evaluated for patients from different health settings and linguistic backgrounds. TRIAL REGISTRATION:This study has been registered with Australian New Zealand Clinical Trials Registry (ANZCTR). The trial registration number is ACTRN12616000803493. :目的: 评估AVATAR应用于急性冠状动脉综合征(心脏病)患者教育的有效性。: 背景: 缺乏对急性冠状动脉综合征症状和正确应对方法的了解,往往导致延误就医。: 设计: 单中心、非盲、实用随机对照试验。: 方法: 将70位急性冠状动脉综合征患者随机分为干预组(Avatar应用组)或常规护理组。分别在0、1和6个月内随访试验参与者。采用Tobit生长曲线模型来对症状知识进行初级结果分析;其次是对态度和信念进行2次结果分析。使用China - square和Mann-Whitney U测试分析心脏病发作行动计划的实施和卫生保健的使用情况。 结果: 在70名参与者中,63%为男性,平均年龄为64.7岁(SD 11.7)。66名(94.2%)参与者完成了随访。根据1个月到6个月的跟踪访问,因为不同组间的急性冠状动脉综合征(ACS)的不同,反应指数评分统计数据也大有不同 (p < .01)。干预组在6个月内症状知识、态度和信念有显著提高(p < .001, p = .009, p < .001);常规护理组参与者无明显提高(p = .152, p = .068,p = .228)。在使用医疗服务方面,干预组和常规护理组在使用救护车方面有显著差异(33.33% vs.18.18%, p = .008;心脏:88.89% vs. 42.86%;p = .049);85.14%的参与者表示,该应用帮助他们在未来识别和应对症状时更有信心。 结论: 教育应用程序能帮助有效提高ACS患者的知识、态度和信念。我们下一步的评估工作将是一项大型多中心试验,随访时间更长,以评估干预措施对临床结果的有效性。 影响: AVATARS (Nurse Cora)应用程序的内容可以被翻译成不同的语言,并为来自不同健康环境和语言背景的患者评估病情。 试验注册: 本研究已在澳大利亚-新西兰临床试验注册中心(ANZCTR)注册。试验注册号为ACTRN12616000803493。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Tongpeth J,Du H,Barry T,Clark RAdoi
10.1111/jan.14210subject
Has Abstractpub_date
2020-01-01 00:00:00pages
297-311issue
1eissn
0309-2402issn
1365-2648journal_volume
76pub_type
杂志文章,随机对照试验abstract::Assessing a patient's level of consciousness is a skilled part of nursing practice. The epistemology of this activity is discussed using the four patterns of knowing identified by Carper. It is suggested that all four patterns and their interaction are necessary for a practitioner to be able to carry out this activity...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1994.20050881.x
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:The recent government decision to fund the costs of Registered nursing time in long-term care facilities in England through the Registered Nurse Contribution to Care renders the need to distinguish the role of Registered General Nurses (RGNs) from that of Care Assistants (CAs) in nursing homes increasingly i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2003.02649.x
更新日期:2003-06-01 00:00:00
abstract::The organization of the way in which hospitals and hospital staff provide a service to patients is obviously of critical importance to their effectiveness, yet it is clear that rigidities and inappropriate and ineffective procedures frequently intrude. It is commonly held that changing hospitals as organizations is di...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1980.tb00977.x
更新日期:1980-07-01 00:00:00
abstract:AIM:This article is a report on a study conducted to examine the views of healthcare professionals and lay people regarding the effect of family presence during resuscitation on both the staff performing the resuscitation and the relatives who witness it. BACKGROUND:Family presence during resuscitation is controversia...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05883.x
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Adolescent pregnancy has become a main issue in the health care system for aborigines in eastern Taiwan. Using aboriginal nurses to provide information on sexual behaviour may have potential as a means of promoting healthy sexual practices among aborigines. Aim. To explore aboriginal nurses' perspectives on ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02533.x
更新日期:2003-02-01 00:00:00
abstract:AIM:This paper is a report of a systematic review to assess the effectiveness of family-focused smoking cessation interventions for people with chronic obstructive pulmonary disease and to determine what data on families are documented in studies of smoking cessation interventions. BACKGROUND:Chronic obstructive pulmo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04379.x
更新日期:2007-09-01 00:00:00
abstract:AIMS:The aim of this study was to describe the nurse-patient relationships and to study how caring behaviours were described. The review question was: What factors influence the caring relationship between a nurse and patient? BACKGROUND:There is a growing perception that nurses fail to provide compassionate and compe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12862
更新日期:2016-04-01 00:00:00
abstract::Recent government proposals have underlined the importance of ascertaining users' views of health care. Traditionally these have been obtained through satisfaction surveys. However, researchers argue that the focus of attention should now shift to exploring dissatisfaction because it highlights more clearly any proble...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01137.x
更新日期:1999-09-01 00:00:00
abstract:AIM:This paper is a report of a study to validate the Discomfort Scale - Dementia of Alzheimer Type in Italian. BACKGROUND:Dementia is a long and highly debilitating illness with a slow course and a steadily rising prevalence. Improving the quality of life of patients with dementia requires instruments to measure thei...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04810.x
更新日期:2008-11-01 00:00:00
abstract:AIMS:This paper seeks to analyse the content, people and process of transformational change to introduce new ways of working for specialized obstetric nurses in northeast Brazil, and identify the lessons learned. BACKGROUND:Countries across the globe are beginning to focus on improving the nursing workforce through ne...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03450.x
更新日期:2005-06-01 00:00:00
abstract:AIMS:To report observational data collected as part of a multi-phased study examining violence in the health sector. The findings presented detail the nature of verbal abuse experienced by nurses during their everyday interactions with patient, their families, or companions. BACKGROUND:Nurses have unacceptably high le...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12074
更新日期:2013-09-01 00:00:00
abstract::This paper analyses the concept of reassurance in health care, arguing that it entails giving information predicting a safe outcome, plus the use of personal support to help patients feel secure. The literature on anxiety management interventions is reviewed and selected findings are presented from a survey of reassur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1995.22010079.x
更新日期:1995-07-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 00:00:00
abstract:AIM:This paper reports on a study conducted to describe family nurse practitioners' perceptions towards and participation in pharmaceutical marketing and to explore the relationships among related variables. BACKGROUND:The pharmaceutical industry's intense global marketing strategies have resulted in widespread concer...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04911.x
更新日期:2009-03-01 00:00:00
abstract:AIMS OF THE STUDY:This study was conducted to clarify and to conceptualize the phenomena of physical touch in caring. BACKGROUND:Physical touch occurs frequently in patient care situations and has specific meanings within the context of caring. However, the concept of physical touch in caring has not been well articul...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01721.x
更新日期:2001-03-01 00:00:00
abstract:AIM:This paper reports a study to interpret and understand bulimia nervosa as women experience it. BACKGROUND:Research into bulimia nervosa has focused on prevalence rates, health complications, comorbidity, neurochemical dysregulation, and cultural influences. Despite a multitude of investigations, little published r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03262.x
更新日期:2005-01-01 00:00:00
abstract::Childhood accidental injuries are a major public health problem, whether measured in terms of morbidity or mortality, and accident prevention is subsequently a priority issue. The Accident and Emergency Notification System to health visitors provides them with vital information and statistics with which to plan accide...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb03141.x
更新日期:1996-01-01 00:00:00
abstract:AIM:The aim of this study was to investigate the concepts of objectification and self-objectification among young women in the context of attitudes towards menstruation, menstrual suppression, menstrual and menarche experiences, disorder eating and exercise habits and to detect predictors of objectification and self-ob...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13220
更新日期:2017-06-01 00:00:00
abstract::The contexts of adherence for African Americans with high blood pressure African American men between the ages of 18 and 49 years have the lowest rates of awareness, treatment and control of high blood pressure (HBP) of all age/race/gender groups in the United States. A qualitative study was done to gain an understand...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01538.x
更新日期:2000-09-01 00:00:00
abstract::The development of a satellite education partnership between the School of Nursing at the University of Wisconsin Eau Claire and St Joseph's Hospital in Marshfield, Wisconsin, is reported. The factors which were identified as key to this successful partnership are compared to the antecedent conditions and defining att...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00836.x
更新日期:1998-12-01 00:00:00
abstract::The fragmented nature of maternity services in the UK has led to the introduction of various forms of team midwifery scheme. The aim of such schemes is usually to increase continuity through the provision of antenatal, intrapartum and postnatal care to women by a small team of midwives. Few published studies of this o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00554.x
更新日期:1998-03-01 00:00:00
abstract::This study examined the use of nursing practice standards in British Columbia in labour arbitrations related to patient care for the years 1987-1994. Retrospective secondary content analysis was the method used to analyse the cases. Although practice standards were referred to in some of the cases, the nature and clar...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00561.x
更新日期:1998-03-01 00:00:00
abstract:AIM:To increase understanding of women's decision-making process concerning the medication use for anxiety and/or depression while pregnant. BACKGROUND:Anxiety and depression affects many pregnant women, yet the decision to take psychotropic medication is complex and possibly subject to social oppression. DESIGN:Cros...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12122
更新日期:2013-11-01 00:00:00
abstract::Since behavioural objectives are rooted in behaviouristic psychology there is a brief discussion of some notable behaviourists. This is followed by reference to some key characters in the behavioural objectives movement. The strengths and weaknesses of behavioural objectives are discussed with reference to the relevan...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00504.x
更新日期:1985-03-01 00:00:00
abstract:AIM:To report an analysis of the concept of adverse childhood experiences. BACKGROUND:Adverse childhood experiences have been associated with negative physical and psychological health outcomes, but this phenomenon lacks the clear, consistent meaning necessary for use in nursing research, theory development and practi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12329
更新日期:2014-07-01 00:00:00
abstract::Relationships between infant temperament, demographic variables, and family dynamics of child-rearing families were investigated in this study. The revised Infant Temperament Questionnaire (RITQ), the Family Dynamics Questionnaire (FDQ) and the Family Dynamics Measure (FDM) were sent to 118 families who had participat...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00558.x
更新日期:1998-03-01 00:00:00
abstract::A sample of ward-based assessors from the Gwynedd School of Nursing demonstrated unfavourable attitudes to the current system of practical examinations as measured by a scale produced by the author. He suggests that this information could be a desirable adjunct to the unhindered introduction of continuing clinical ass...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb03389.x
更新日期:1986-11-01 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is the most common inherited disease of childhood. Caring for a child with CF is stressful and this has implications for the main carer, the parental relationship, well siblings, family functioning as well as the affected child. AIM:This study aimed to explore current stresses and copin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02299.x
更新日期:2002-08-01 00:00:00
abstract::This paper examines the phenomenon of family 'interference' in the health care of a sick member from a new angle. The 'interfering' behaviours are located within the context of the family's evolving relationships with health care providers. The authors argue that the behaviours are an understandable product of the fam...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00416.x
更新日期:1984-11-01 00:00:00
abstract:AIM:To synthesize the evidence relating to the ability of specialist care home support services to prevent the hospital admission of older care home residents, including hospital admission at the end-of-life. DESIGN:Systematic review and narrative synthesis. METHODS:Ten electronic databases will be searched from 2010...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13866
更新日期:2019-02-01 00:00:00