基于护士主导病例管理模式的家庭支持计划对家庭照顾者的影响:一项随机对照试点试验

IF 0.8 Q4 NURSING

Home Health Care Management and Practice Pub Date : 2023-10-16 DOI:10.1177/10848223231205200

Fatma Tanrikulu, Yurdanur Dikmen

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引用次数: 0

摘要

家庭照顾者有很大的责任，许多人很难履行他们的照顾角色。先前的研究表明，当照顾者得到社会、心理和文化上的支持时，照顾者的应对技能、生活质量和健康问题都有积极的改善。本研究的目的是通过测量生活质量、照顾者负担和家庭功能水平来评估基于护士主导的病例管理模式的家庭支持计划对家庭照顾者的影响。本研究将27名家庭护理人员随机分为干预组和对照组。干预组(n = 13)对护理人员实施基于护士主导的5阶段病例管理模式的家庭支持计划，为期6个月。对照组(n = 14)由家庭卫生服务机构进行常规随访监测。基线和干预后评估包括Zarit照顾者负担量表、世界卫生组织生命质量土耳其表和家庭APGAR量表。结果发现，干预组与对照组照顾者负担、生活质量、家庭功能水平总分差异有统计学意义(p <. 05)。基于护士主导的病例管理模式的家庭支持方案对护理人员具有支持作用，其中提供基于网络的教育和咨询服务，患者及其亲属由多学科卫生小组监测，并满足他们的教育需求。

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The Effect on Home Caregivers of a Family Support Program Based on a Nurse-Led Case Management Model: A Randomized Controlled Pilot Trial

Home caregivers have a large amount of responsibility, and many have difficulty in fulfilling their care-giving roles. Previous studies have shown that when caregivers are supported socially, psychologically, and culturally, there is a positive improvement in caregivers’ coping skills, quality of live, and a decrease in health problems. The purpose of this study was to evaluate the effect of a family support program based on the nurse-led case management model on home caregivers by measuring quality of life, caregiver burden, and family functionality level. In this study 27 home caregivers were randomly divided into intervention and control groups. The family support program based on a 5-stage nurse-led case management model was administered for the caregivers in the intervention group (n = 13) for 6 months. The caregivers in the control group (n = 14) were monitored by home health services through routine follow-ups. Baseline and postintervention assessments included the Zarit Caregiver Burden Scale, the World Health Organization Quality of Life–Brief Turkish Form, and the Family APGAR Scale. It was found out that there was a statistically significant difference among caregiver burden, quality of life, and family functionality level total scores of caregivers in the intervention and control groups ( p < .05). A family support program based on nurse-led case management model has a supportive role for caregivers, where web-based education and counseling services are available, patients and their relatives are monitored by a multidisciplinary health team, and their educational needs are met.

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来源期刊

Home Health Care Management and Practice NURSING-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.