加强长期护理中的息方法 (SPA-LTC) 计划的评估:一个集群随机对照试验的协议
Sharon Kaasalainen1,2, Abigail Wickson-Griffiths3, Paulette Hunter4
1School of Nursing, McMaster University, Hamilton, Ontario, Canada.
BMJ open
|October 25, 2023
概括
这项研究评估了长期护理 (SPA-LTC) 计划在长期护理院加强息方法的评估. 该SPA-LTC计划旨在改善居民及其家属的息护理,增强工作人员的信心,减少急诊室的访问.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期护理 (LTC) 家庭面临高死亡率,但往往缺乏正式的息护理计划.
- 加强长期护理中的息方法 (SPA-LTC) 计划是为了解决这个缺口而开发的.
研究的目的:
- 评估SPA-LTC计划在LTC设置中的实施和有效性.
- 评估SPA-LTC计划对居民结果,家庭满意度和员工准备度的影响.
主要方法:
- 一个跨司法管辖区,有效性实施混合型II集群随机对照试验,涉及三个省的18个LTC家庭.
- 干预组接受了简化培训,并参加了SPA-LTC计划;对照组没有.
- 通过员工调查,居民和家庭措施收集的数据,主要结果是生命最后6个月的急诊室使用.
主要成果:
- 主要结局:生命最后6个月的急诊室使用.
- 二次结果:死亡地点,家庭满意度,决策冲突,员工知识/信心,以及实施指标 (可行性,覆盖范围,忠诚度,可持续性).
- 使用多变量逻辑回归与概括估计方程进行分析,采用治疗意图原则.
结论:
- 这项研究将提供关于LTC结构化息护理计划可行性和有效性的关键数据.
- 调查结果将为在长期护理机构中更广泛地采用息护理方法提供信息.
- 通过会议和开放获取出版物计划传播.
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