在美国癌症中心提供家庭护理人员计划的可用性
J Nicholas Odom1,2,3, Allison Applebaum4, Marie A Bakitas1,2,3
1School of Nursing, The University of Alabama at Birmingham, Birmingham.
JAMA network open
|October 11, 2023
概括
大多数美国癌症中心都提供家庭护理人员计划,但有四分之一缺乏这些计划. 很少有计划是基于证据的,这凸显了对癌症护理人员支持更好的实施策略的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 护理人员支持护理人员支持
背景情况:
- 家庭护理人员为数百万美国癌症患者提供必要的医疗保健.
- 许多护理人员缺乏正式的培训和支持,尽管护理需求复杂.
- 癌症护理人员的现有干预措施众多,但癌症中心采用它们的情况尚不清楚.
研究的目的:
- 评估美国癌症中心内家庭护理人员支持计划的可用性和特点.
- 确定方案采用的模式和为家庭护理人员提供的支持类型.
主要方法:
- 对美国癌症中心进行了一项全国性调查,该调查对癌症委员会认可的美国癌症中心进行了调查.
- 调查工具评估了11种结构化家庭照顾者计划的存在.
- 描述性统计数据被用来分析程序的可用性和特征.
主要成果:
- 大多数接受调查的癌症中心 (75.4%) 提供至少一个家庭护理人员计划,而24.6% 没有提供任何计划.
- 信息和推服务是最常见的程序类型 (53.6%).
- 很少有中心提供医疗/护理任务 (21.7%),自我护理 (20.2%),或应急查 (19.3%) 的基于证据的培训.
结论:
- 虽然大多数癌症中心提供某种形式的护理人员支持,但存在很大的差距,许多缺乏任何计划.
- 当前计划的范围有限,而且很少以证据为基础,这表明对实施策略的关键需求.
- 采用基于证据的干预措施至关重要,以加强对瘤诊所家庭护理人员的支持.
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