Heather Sherrard, Christine Struthers, Sharon Ann Kearns, George Wells, Li Chen, Thierry Mesana
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引用次数: 0
摘要
目的:应用交互式语音应答(IVR)技术提高心脏手术后患者的用药依从性，减少不良事件(住院和急诊)。方法:随机分为干预组的患者在出院后6个月内接受11次自动IVR呼叫。共有331名患者(164名IVR, 167名常规护理)参与。结果:IVR组依从性和不良事件的主要综合结局(相对危险度(RR)和95%可信区间[CI]: 0.60 [0.37, 0.96]， p = 0.041)和用药依从性的次要结局(RR: 0.34 (0.20, 0.56)， p < 0.0001)差异有统计学意义。对急诊就诊(RR: 1.04 (0.63, 1.73J)和住院(RR: 0.77[0.41, 1.45])无显著影响。大多数患者(93%)倾向于IVR随访而非无随访。
Using technology to create a medication safety net for cardiac surgery patients: a nurse-led randomized control trial.
Purpose: Interactive voice response (IVR) technology was used to increase medication compliance and reduce adverse events (hospitalization and emergency visits) in post-cardiac surgery patients.
Method: Patients randomized to intervention received 11 automated IVR calls in the six months after discharge. A total of 331 patients (164 IVR, 167 usual care) participated.
Results: Findings showed significant differences in the IVR group for the primary composite outcome of compliance and adverse events (relative risk (RR] and 95% confidence interval [CI]: 0.60 [0.37, 0.96), p = 0.041) and the secondary outcome of medication compliance (RR: 0.34 (0.20, 0.56), p < 0.0001). There was no significant impact on emergency room visits (RR: 1.04 (0.63, 1.73J) and hospitalization (RR: 0.77 [0.41, 1.45]). Most patients (93%) preferred IVR follow-up to no follow-up.
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