在家进行气管切除术护理的促进资源和护理人员赋权 (BREATHE) 研究:为分层随机化试验的研究协议
Karen Sepucha1,2, Kevin Callans3, Lauren Leavitt4
1Health Decision Sciences Center, Division of General Internal Medicine, Massachusetts General Hospital, 100 Cambridge St, 16th Floor, Boston, MA, 02114, USA. ksepucha@mgh.harvard.edu.
Trials
|October 29, 2024
概括
这项BREATHE研究旨在通过提供增强的支持和资源,减少护理人员对气管切除术儿童的负担. 这项研究将改善儿科气管切除术护理和护理人员退院后的福祉.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 护理人员支持护理人员支持
- 呼吸系统护理 呼吸系统护理
背景情况:
- 每年大约有4000名美国儿童需要气管切除术,将出院后的护理转移到家庭护理人员手中.
- 护理儿童的气管切除术,有或没有呼吸机支持,显著影响护理人员的福祉.
- 目前的出院计划需要加强,以解决护理人员负担和改善儿科结果.
研究的目的:
- 为了减轻儿童护理人员在家中所经历的负担和压力.
- 加强医院出院后儿童的安全和健康结果.
- 确定实施全面的儿科气管切除术出院计划的关键促进因素和障碍.
主要方法:
- 一个务实的,双臂随机试验 (BREATHE研究) 涉及六个美国地点.
- 照顾者随机分配到一个比较组 (当前的标准护理) 或一个干预组 (增强资源,社会支持,儿科医生沟通).
- 通过在基线,4周和6个月的护理人员调查收集数据;儿科医生调查;和临床医生采访.
主要成果:
- 该研究将在干预组和对比组之间比较护理人员负担,再接收率和儿科医生满意度.
- 分析将重点关注"Trach Plus"干预措施在支持家庭方面的有效性.
- 确定儿科出院计划的实施促进者和障碍.
结论:
- 这项BREATHE研究将提供关键的见解,以优化对儿童气管切除术的护理人员的医院支持.
- 调查结果将为改进出院策略的制定提供信息,以促进家庭重新融入日常生活.
- 这项研究旨在改善气管切除术儿童及其家属的整体护理体验.
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