Can addressing family education improve outcomes of patients under home invasive mechanical ventilation? A randomized controlled clinical trial.

IF 1.2 Q4 HEALTH POLICY & SERVICES

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-07-01 Epub Date: 2023-02-22 DOI:10.1080/01621424.2023.2177223

Maryam Esmaeili, Nahid Dehghan Nayeri, Fatemeh Bahramnezhad, Samrand Fattah Ghazi, Parvaneh Asgari

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Abstract

The use of home mechanical ventilation is increasingly developing. The present study aimed to examine the effect of a family-centered training program on patients under home invasive mechanical ventilation. A total of 60 adult patients under invasive mechanical ventilation were selected and randomly allocated into two groups. The supportive home care program consisting of six training sessions using a teach-back technique and follow up training at home. The rate of hospital readmission and mortality in the intervention group was significantly lower than the control group(P = .02 and P = .03, respectively). Moreover, the home caregivers' level of knowledge in the intervention group was significantly higher than that of the control group(P = 0/000). In addition, implementing the intervention effectively increased home caregivers' ability of functional skills. Therefore, comprehensive preparation of the patient and family before discharge and coherent support and continuity of care after discharge with the effective presence of nurses.

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家庭教育能改善家庭有创机械通气患者的预后吗？随机对照临床试验。

家庭机械通气的使用正在日益发展。本研究旨在探讨以家庭为中心的培训项目对家庭有创机械通气患者的影响。研究人员共选取了 60 名接受有创机械通气的成年患者，并将其随机分为两组。支持性家庭护理项目包括六次采用回授技术的培训课程和在家中进行的后续培训。干预组的再入院率和死亡率明显低于对照组（P = .02 和 P = .03）。此外，干预组家庭护理人员的知识水平明显高于对照组（P = 0/000）。此外，干预措施的实施有效提高了家庭护理人员的功能技能能力。因此，出院前为患者和家属做好全面的准备，出院后在护士的有效陪伴下提供连贯的支持和持续的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.