由社区卫生工作者提供的家庭息护理与常规护理的比较:试点随机对照试验的研究协议
Suparna Qanungo1, Kathleen B Cartmell2, Martina Mueller3
1College of Nursing, Medical University of South Carolina, 99 Jonathan Lucas Street., MSC 160, Charleston, SC, 29425-1600, USA. qanungo@musc.edu.
BMC palliative care
|September 1, 2023
概括
这项研究探讨了利用社区卫生工作者 (CHW) 在印度农村地区提供家庭息护理 (Pal-Care). 目标是为服务不足的癌症患者创造一个可持续的模型.
科学领域:
- 全球健康 全球健康
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 息治疗改善了患者的结果,包括生活质量和症状负担.
- 在资源较低的国家,获得缓解护理的机会有限,影响76%的需要护理的患者.
- 息治疗工具包 (PCT) 是为了赋予资源贫困环境中的社区成员权力而开发的.
研究的目的:
- 试验一项随机对照试验 (RCT),评估在家进行息护理干预的实施情况.
- 探索从PCT改编的Pal-Care干预措施对印度农村癌症患者的潜在影响.
- 评估使用社区卫生工作者 (CHW) 提供息护理的可行性.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及90名患者 (45名干预者,45名对照者).
- 干预组接受了由医疗保健机构提供的家庭息服务 (Pal-Care).
- 该RE-AIM框架指导了对覆盖范围,有效性,采用,实施和维护的评估.
主要成果:
- 主要结果侧重于CHW培训,角色,患者协助,招聘,利益相关者的看法和忠诚度.
- 二次结果包括患者自我报告的生活质量,症状负担,缓解需求和护理经验.
- 数据分析将在SAS中进行,根据患者人口统计和CHW病例量进行子组评估.
结论:
- 帕尔-护理RCT的目标是评估CHW在家庭息护理中的使用情况.
- 这项干预基于世卫组织的息护理工具包 (PCT) 和与常规护理相比.
- 长期目标是建立一个可持续的家居息护理模式,以在服务不足的地区.
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