Hendrix Cristina C, Abernethy Amy, Sloane Rick, Misuraca Joey, Moore Joseph
Duke University School of Nursing, Durham, NC, USA.
Home Healthc Nurse. 2009 May;27(5):271-8. doi: 10.1097/01.nhh.0000356777.70503.62.
The aim of this pilot study was to investigate if an individualized and experiential training can promote family caregiver's confidence (self-efficacy) in home care and symptom management. The study was conducted in a hematology/oncology unit in a southeastern regional medical center. Twenty informal cancer caregivers participated in the study. The individualized and experiential training was conducted at the bedside prior to patient's hospital discharge. Self-efficacy in home care and cancer symptom management was measured using the Cancer Caregiver Self-Efficacy Measure before and after training, and at 1 week after hospital discharge of cancer patients. Results of the study showed mean Cancer Caregiver Self-Efficacy Measure increased by 41.1 points immediately after the training (z = 4.49, p < 0.001) and was 31.7 points higher at 1-week follow-up (z = 3.22, p < 0.01). The findings of this study suggest that individualized and experiential training may be another avenue for nurses, including home care nurses, to support family home caregiving. By helping family members in home care, favorable patient outcomes may be achieved, enabling older patients with cancer to stay longer in the comfort of their homes.
这项初步研究的目的是调查个性化的体验式培训是否能提升家庭护理人员在家中护理及症状管理方面的信心（自我效能感）。该研究在东南部地区医疗中心的血液科/肿瘤科进行。20名癌症患者的非正式护理人员参与了这项研究。个性化的体验式培训在患者出院前于床边进行。使用癌症护理人员自我效能量表在培训前后以及癌症患者出院1周后测量在家中护理和癌症症状管理方面的自我效能感。研究结果显示，培训后癌症护理人员自我效能量表的平均分立即提高了41.1分（z = 4.49，p < 0.001），在1周随访时提高了31.7分（z = 3.22，p < 0.01）。本研究结果表明，个性化的体验式培训可能是护士（包括家庭护理护士）支持家庭居家护理的另一条途径。通过帮助家庭成员进行居家护理，可能会取得良好的患者结局，使老年癌症患者能够在自己家中更长久地舒适生活。
