家庭护理人员的过渡性息护理:随机对照试验的结果
Joan M Griffin1, Jay N Mandrekar2, Catherine E Vanderboom3
1Kern Center for the Science of Health Care Delivery Research (J.M.G., C.E.V., A.M.D., D.E.H.), Mayo Clinic, Rochester, Minnesota, USA; Division of Health Care Delivery Research (J.M.G.), Mayo Clinic, Rochester, Minnesota, USA.
Journal of pain and symptom management
|August 7, 2024
概括
这项研究发现,视频访问改善了息治疗患者及其家庭护理人员的生活质量. 该干预措施还显著减少了护理人员在护理过渡期间的抑郁症.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 接受住院息护理的患者的家庭护理人员在医院过渡期间经历了重大不确定性.
- 护理人员往往缺乏足够的支持和培训,影响他们的福祉和潜在的患者护理.
- 农村和服务不足的人口在获得一致的息护理支持方面面临着独特的挑战.
研究的目的:
- 评估一项为期八周的视频访问干预措施,用于从医院转移到家庭的息治疗患者的护理人员.
- 评估护士领导的视频干预对护理人员结果 (抑郁,负担,生活质量) 和患者生活质量的影响.
主要方法:
- 一项随机对照试验 (2018-2022年) 涉及农村/服务不足地区的成年护理人员.
- 干预组通过视频访问接受护士领导的教学,指导和咨询.
- 对照组接受了标准的每月一次电话;结果在基线和八周测量.
主要成果:
- 与对照组相比,干预组在照顾者和患者的生活质量方面表现出统计学上显著的改善.
- 经过调整后的分析证实了持续改善生活质量和显著减少护理人员抑郁症.
- 两组之间的护理人员负担没有显著差异.
结论:
- 在护理过渡期间,针对农村护理人员需求的有针对性的干预措施至关重要.
- 视频访问干预措施可以有效地提高护理人员的福祉,并改善患者在息护理环境中的生活质量.
- 支持家庭护理人员是成功提供息护理和患者结果的重要组成部分.
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