基于智能手机的与传统的面对面的协作护理为社区居住的老年人生活在中国的痴呆症:实施基于科学的顺序多重分配随机试验的协议
Yang Wan1, Yan Cai2, Shiyi Liao1
1West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.
BMJ open
|July 9, 2023
概括
本研究探讨了在家治疗痴呆症患者的协作护理模式 (CCM),比较面对面与移动应用程序的干预措施,以改善生活质量并减少护理人员的负担.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 对痴呆症患者的机构和家庭护理的高成本和需求带来了重大挑战.
- 协作护理模式 (CCM) 提供了一个潜在的解决方案,通过移动技术增强了基于社区的护理.
- 基于智能手机的管理可以在社区环境中切实提供协作护理.
研究的目的:
- 为在家照顾的老年痴呆症患者建立一个CCM.
- 确定提供协作护理的最佳策略,包括道和频率.
- 为了比较面对面和基于移动的干预措施的有效性.
主要方法:
- 实施科学框架使用德尔菲方法和重点小组进行干预开发.
- 顺序的多项任务随机试验,比较面对面和微信小程序干预.
- 涉及358名患有痴呆症的老年人和他们的护理人员,随访时间为6,12个月和18个月.
主要成果:
- 主要结果:改善患者的生活质量,减少护理人员负担.
- 使用治疗意图和概括估计方程方法进行分析.
- 对不同交付方法和频率的成本效益分析.
结论:
- 该研究将提供关于为在家护理的痴呆症患者提供协作护理的最有效和最具成本效益的策略的证据.
- 研究结果将为开发可扩展和可访问的痴呆症护理解决方案提供信息.
- 通过同行评审期刊传播和对公共卫生政策的潜在影响.
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