一个新的家庭息护理计划的随机对照试验: 一份无法完成的试验报告
Nathan E Goldstein1,2, Shira Winter3, Harriet Mather1
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of the American Geriatrics Society
|June 1, 2024
概括
一种新的家庭息护理模式改善了患者的症状和生活质量. 该模型利用社区卫生工作者,护士和社会工作者,但没有显著影响医疗保健利用率或成本.
科学领域:
- 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
- 老年医学 老年医学
背景情况:
- 越来越需要可访问和有效的息护理服务.
- 开发一种新的家庭息护理 (PC@H) 模式.
- PC@H模式以社区卫生工作者,护士和社会工作者为中心,有APN和医生支持.
研究的目的:
- 测量PC@H对患者症状的影响.
- 评估PC@H对生活质量的影响.
- 评估PC@H对医疗保健利用率和成本的影响.
主要方法:
- 136名患有严重疾病的患者参加了一项并行随机对照试验.
- 主要结局:6周后症状负担的变化.
- 二次结果:症状负担和3个月后的生活质量;医疗保健利用率和成本.
主要成果:
- 与对照组相比,PC@H在6周和3个月后患者的症状得到了更大的改善.
- 没有观察到群体之间在医疗保健利用和成本方面存在显著差异.
- 试验完成受到COVID-19大流行和资金流失的影响.
结论:
- 与社区卫生工作者,护士和社会工作者合作的PC@H模型可以改善患者的症状和生活质量.
- 缺乏证明医疗保健利用和成本差异,可能是由于样本规模和功率不足.
- 外部因素,包括COVID-19大流行和资金变化,影响了研究结果.
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