Utilization of Digital Solution to Enhance the Understanding of Acute Stroke Patient Care Journey (ASPCJ) for Acute Stroke Patients in Acute Stroke Unit (ASU) of Hong Kong East Cluster (HKEC) Hospitals during Coronavirus Disease 2019 (COVID-19) Pandemic

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Abstract Description
Submission ID :
HAC820
Submission Type
Authors (including presenting author) :
Leung CY(1), Churk HT(2), Lui KH(1), Siu WI(2), Cheung WSJ(2), Mok YNM(1), Tse KYG(2), Yip KY(1)
Affiliation :
(1)Department of Medicine, Pamela Youde Nethersole Eastern Hospital, (2)Department of Medicine &Geriatric, Ruttonjee & Tang Shiu Kin Hospitals
Introduction :
During COVID-19 pandemic, hospital visiting restrictions had limited the social interaction between patients, families, and healthcare professionals, causing worries and uncertainties to patients and families. They want to seek stroke-related information from healthcare providers. So, we should explore some technological solutions to deliver specific ASPCJ information during hospitalisation.
Objectives :
To facilitate stroke patients and families in familiarization of ASPCJ; and reduce communication workload of ASU nurses.
Methodology :
It was a prospective study and was piloted in ASU of Pamela Youde Nethersole Eastern Hospital (PYNEH) and Ruttonjee & Tang Siu Kin Hospital (RTSKH) from April to August 2021. Randomized controlled trial was applied to recruit acute stroke patients and their families in ASU. Informative factsheets of ASPCJ were designed in hard copies (pamphlets) and soft copies (QR code card).
Questionnaires were distributed to both groups to review their feedback on stroke knowledge, recommended methods for introduction of ASPCJ and satisfaction. Another questionnaire was completed by ASU nurses to review their feedback on workload and satisfaction.
Result & Outcome :
Total 132 samples were recruited, of which 66 in each intervention group (IG) (QR code card or pamphlets distribution) and control group (CG) (no written information distribution) respectively. Regarding the mean stroke knowledge scores, IG showed a better result as compared to CG, which is 7.12±1.85 and 5.3±2.37 out of 9 respectively (p < 0.001, paired t-test). The mean satisfaction score about HKEC stroke service in IG is higher than that in CG, which is 4.48±0.56 and 3.55±0.79 out of 5 respectively (p < 0.001, paired t-test). 66% of the samples preferred QR code cards over pamphlets, and 70% of those preferred QR code cards were aged below 60. It reflected QR code is more easily accepted in younger groups. By questionnaire return, 86% of 30 ASU nurses showed positive feedback, and agreed that QR code cards and pamphlets could reduce patients’ and families’ worries and enquiries about ASPCJ. In conclusion, use of QR code technology to demonstrate ASPCJ can promote accessibility to obtain stroke care information under COVID-19 pandemic.
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