在宿舍家庭护理人员中对诺维拉的反应进行混合方法分析
Dulce M Cruz-Oliver1, Marcela D Blinka2, Gabrielle E Milner3
1Internal Medicine, Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
电视剧可以帮助宿舍家庭护理人员 (HFCGs) 管理痛苦,但NOVELA干预需要调整. 护理人员的反强调了互动的价值和对临终关怀任务的更好理解,以及远程医疗问题和内容相关性等障碍.
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.
- 卫生沟通健康沟通
背景情况:
- 临终关怀家庭护理人员 (HFCGs) 经历了严重的痛苦.
- 电视剧提供了一个有希望的,可访问的HFCG支持的教育模式.
- 在NOVELA的干预中,使用指导式观看来观看一个以临终关怀为主题的电视剧.
研究的目的:
- 探索焦虑和自我有效性得分的变化以及护理人员对NOVELA干预的反之间的关系.
- 确定影响NOVELA对HFCG干预措施有效性和可接受性的因素.
主要方法:
- 一个单组前试验后试验临床试验的混合方法后 hoc 分析.
- 参与者 (N=50) 在基线和会议后完成了焦虑和自我有效性调查.
- 半结构面试比较了对护理人员的看法,有改善的结果与没有改善的结果.
主要成果:
- 护理人员重视干预互动,尽管视频内容的相关性各不相同.
- 干预改善了对临终关怀任务的理解,但时间和先前的经验影响了收益.
- 障碍包括远程医疗的挑战以及灵活性和自我护理内容的需求.
结论:
- 诺维拉的可接受性与护理人员的改善状态有关.
- 干预调整是必要的,以提高基于电视剧的教育对HFCG的影响.
- 解决已识别的障碍和定制内容可以优化未来的电视剧干预.
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