Educational community intervention with nonformal caregivers in a rural population to improve knowledge and resources related to palliative care: Study protocol.
Antonia Vélez-López, Juan Manuel Carmona-Torres, Ángel López-González, José Alberto Laredo-Aguilera, Esperanza Barroso-Corroto, Joseba Rabanales-Sotos
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引用次数: 0
Abstract
Background: In Spain, there are between 300,000 and 370,000 people with palliative care needs, and it is believed that fewer than 50% can access them. The current challenge is to combat inequities in access to palliative care resources in the rural environment through training, greater provision of material and human resources, and the involvement of health system managers.
Main objective: To determine the effectiveness of an educational community intervention on knowledge of care for nonformal caregivers in a rural area.
Design: A quasi-experimental pretest-posttest study with a control group will be conducted in Isso's primary care setting (Albacete).
Methods and analysis: The sample calculation was performed with the GRANMO program (version 8.0, 2024) with 80 caregivers. The dependent variables will be caregiver support, quality of life, and knowledge of palliative care. The IBM SPSS Statistics version 28 program will be used for statistical analysis. Instruments used were the abbreviated Zarit scale, EuroQol 5D, Goldberg, and PaCKs.
Discussion: Improving the overload in care of the main caregiver of people with palliative care, since it negatively affects health and improves the well-being of informal caregivers.
Conclusion: If schools for caregivers were implemented in other health centers or clinics accessible to the population, the empowerment of these people could be improved by reducing costs and enhancing experiences in care.
Ethics: The protocol was approved by the social research ethics committee of the University of Castilla-la Mancha with reference number CEIS-2024-21094 and by the drug research ethics committee of the Gerencia de Atención Integrada de Albacete with code No. 2024-003.
背景:在西班牙,有30万至37万人需要姑息治疗,据信只有不到50%的人能够获得这些服务。当前的挑战是通过培训、更多地提供物质和人力资源以及卫生系统管理人员的参与,消除在农村环境中获得姑息治疗资源方面的不公平现象。主要目的:确定教育社区干预对农村地区非正规护理人员护理知识的有效性。设计:将在Isso的初级保健机构(Albacete)进行一项与对照组的准实验前测后测研究。方法与分析:80名护理人员使用GRANMO程序(version 8.0, 2024)进行样本计算。因变量包括照顾者支持、生活质量和姑息治疗知识。IBM SPSS统计28版程序将用于统计分析。所用仪器为简略Zarit量表、EuroQol 5D、Goldberg和PaCKs。讨论:改善姑息治疗患者主要照护者的超负荷照护状况,因为它对健康产生负面影响,并改善非正式照护者的福祉。结论:如果在人口可及的其他卫生中心或诊所实施护理人员学校,可以通过降低成本和提高护理经验来改善这些人的赋权。伦理:本方案由卡斯蒂利亚-拉曼查大学社会研究伦理委员会批准,参考编号为CEIS-2024-21094,由Gerencia de Atención Integrada de Albacete药物研究伦理委员会批准,代码为2024-003。