Adult patients with gastrointestinal diseases scheduled for hospital discharge
Conditions
Interventions
AI avatar video + face-to-face instruction
Conventional video + face-to-face instruction
Face-to-face instruction only
Sponsors
Keio University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Patients in the Department of Gastrointestinal Surgery or Gastroenterology who have a gastrointestinal drain or catheter in place at the time of discharge - No age restrictions - Patients who can understand explanations provided in Japanese - Patients without dementia or severe cognitive impairment based on cognitive function assessment (For patients aged 75 years or older, the OLD will be administered, and the MMSE will be performed as needed) - Patients with no prior experience of having a drain or catheter placed
Exclusion criteria
Exclusion criteria: - Patients who do not have a gastrointestinal drain or catheter in place at the time of discharge - Patients suspected of having dementia or severe cognitive impairment - Patients aged 75 years or older who score 4 or more out of 12 items on the OLD, and additionally score 23 or lower on the MMSE - Patients with visual or hearing impairments that make it difficult to watch videos or understand explanations - Patients for whom sufficient time for instruction cannot be secured due to reasons such as urgent discharge - Patients who have previous experience with a drain or catheter and may already understand self-management methods
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Patient understanding at the end of the first educational session (objective assessment by healthcare providers using a five-item Likert scale, and subjective assessment using a comprehension test) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Time required for healthcare providers' explanations (minutes) - Number of explanations provided by healthcare providers (count) - Time required until the start of the intervention - Patient satisfaction (questionnaire adapted from the CSQ-8) - Need for additional explanations (presence/absence and content) - Patient understanding at the first post-discharge outpatient visit (objective assessment by healthcare providers using a five-item Likert scale, and subjective assessment using a comprehension test) - Electroencephalographic measurements using an affective analyzer (affective values) - Nurses' perceived workload (three-item short version of the NASA-TLX) | — |
Countries
Japan
Contacts
Public ContactSaori Tanebe
Keio University Hospital nursing department
Outcome results
None listed