从多个角度了解护理人员负担:护理人员和护理受理者之间的双层协议
Maja Kuharic1,2, Brendan Mulhern3, Lisa K Sharp4
1Department of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois, Chicago, IL, USA. maja.kuharic@northwestern.edu.
概括
接受护理的人.
科学领域:
- 老年学是指老年学的学科.
- 健康心理学 心理健康心理学
- 社会学 社会学 社会学
背景情况:
- 照顾者负担 (CB) 通常由照顾者自我评估.
- 一个新兴的概念是接受护理的人对CB的评估.
- 了解这两种观点对于综合护理至关重要.
研究的目的:
- 评估护理接收者和护理人员在财务,身体,情感和社会领域对CB的看法之间的一致性.
- 探索护理接收者的自我感知负担 (CR-SPB) 和他们对护理人员观点的解释 (Proxy-CB).
主要方法:
- 通过在线调查,从美国504个护理人员-护理接收者二元组中收集的数据.
- 使用CarerQol和新开发的项目评估护理人员负担.
- 使用加权卡帕 (κ) 系数和类内相关系数 (ICC) 量化协议.
主要成果:
- 代理CB显示了与护理人员观点的中度至实质性一致 (κ=0.48-0.66).
- 卡尔科尔-7D指数 (ICC=0.58) 和CB总结分数 (ICC=0.76) 显示中等至实质性的一致.
- 接受护理的人在Proxy-CB中高估了CB,但在CR-SPB中低估了CB.
结论:
- 护理人员负担的观点在护理人员和护理接收者之间有所不同.
- 护理受益人的代理-CB观点显示了显著的协议,表明评估中的潜在替代.
- 护理受益者的自我感知负担 (CR-SPB) 提供了补充的见解,与护理人员的评估不太一致.
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