Lum Terry Y, Kane Rosalie A, Cutler Lois J, Yu Tzy-Chyi
University of Minnesota, Saint Paul, MN 55108, USA.
Health Care Financ Rev. 2008 Winter;30(2):35-51.
A longitudinal quasi-experimental study with two comparison groups was conducted to test the effects of a Green House (GH) nursing home program on residents' family members. The GHs are individual residences, each serving 10 elders, where certified nursing assistant (CNA)-level resident assistants form primary relationships with residents and family, family is encouraged to visits, and professionals adapted their roles to support the model. GH family were somewhat less involved in providing assistance to their residents although family contact did not differ among the settings at any time period. GH family were more satisfied with their resident's care and with their own experience as family members, and had no greater family burden. Issues in studying family outcomes are discussed as well as implications for roles of various personnel, including social service and activities staff in a GH model.
开展了一项纵向准实验研究,设有两个对照组,以测试“绿屋”(GH)养老院项目对居民家庭成员的影响。“绿屋”是独立住宅,每处供10位老人居住,持有证书的护理助理(CNA)级别的居民助理与居民及家人建立主要关系,鼓励家人探访,专业人员调整自身角色以支持该模式。“绿屋”模式下的家人在为其居民提供帮助方面参与度略低,不过在任何时间段,不同环境下的家人与居民的接触并无差异。“绿屋”模式下的家人对其居民的护理及自身作为家庭成员的体验更满意,且家庭负担并未加重。文中讨论了研究家庭结果时存在的问题,以及对包括社会服务和活动工作人员在内的各类人员在“绿屋”模式中的角色的影响。