农村临终关怀家庭护理人员的疼痛管理教育:一项带有嵌入式实施评估的试点研究
Lauren T Starr1, Karla T Washington2, JoAnn Jabbari2,3
1Department of Biobehavioral Health Sciences, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
The American journal of hospice & palliative care
|July 25, 2023
概括
这项研究试行了Ready2Care,这是一项针对农村住院家庭护理人员的教育干预. 虽然它改善了患者的疼痛强度,但需要进一步研究护理人员的结果和招聘策略.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是指老年学的学科.
- 卫生教育卫生教育教育
背景情况:
- 临终关怀家庭护理人员 (HFCGs) 经历了管理患者疼痛的焦虑,特别是在资源有限的农村地区.
- 农村HFCG面临着独特的挑战,如距离,接入问题以及对阿片类药物滥用的担忧.
研究的目的:
- 为了试点测试Ready2Care,这是一项针对农村HFCG的教育干预,重点是疼痛管理.
- 评估Ready2Care对临床相关结果的有效性的初步证据.
- 确定影响未来随机临床试验可行性的因素.
主要方法:
- 采用了单臂,多方法研究设计.
- 配对的t测试比较了干预前和后的护理人员焦虑,自我效能,障碍和患者疼痛的措施.
- 实施评估包括招聘/保留数据和护理人员访谈.
主要成果:
- 27个HFCG参与了这项研究,15个完成了这项研究.
- 患者的疼痛强度和整体疼痛体验有显著的改善.
- 在护理人员的焦虑,自我效能或障碍方面没有发现任何显著的变化;然而,干预措施是高度可接受的.
结论:
- 建议对Ready2Care进行多站点临床试验.
- 有效的招聘和保留策略对于未来涉及农村护理人员的试验至关重要.
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