School of Nursing, University of Rochester, Rochester, NY, USA.
Res Nurs Health. 2012 Oct;35(5):533-49. doi: 10.1002/nur.21491. Epub 2012 Jun 27.
In this randomized controlled trial we tested the efficacy of an intervention program (CARE: Creating Avenues for Relative Empowerment) for improving outcomes of hospitalized older adults and their family caregivers (FCGs). FCG-patient dyads (n = 407) were randomized into two groups. The CARE group received a two-session empowerment-educational program 1-2 days post-admission and 1-3 days pre-discharge. The attention control group received a generic information program during the same timeframe. Follow-up was at 2 weeks and 2 months post-discharge. There were no statistically significant differences in patient or FCG outcomes. However, inconsistent evidence of role outcome differences suggests that CARE may benefit certain FCG subgroups instead of being a one-size-fits-all intervention strategy. Closer examination of CARE's mechanisms and effects is needed.
在这项随机对照试验中,我们测试了干预计划(CARE:为相对赋权创造途径)对改善住院老年患者及其家庭照顾者(FCG)结局的疗效。FCG-患者对(n=407)被随机分为两组。CARE 组在入院后 1-2 天和出院前 1-3 天接受了两次赋权教育计划。对照组在同一时间接受了一般性信息计划。出院后 2 周和 2 个月进行随访。患者或 FCG 的结局没有统计学上的显著差异。然而,角色结局差异的证据不一致表明,CARE 可能对某些 FCG 亚组有益,而不是一种一刀切的干预策略。需要更仔细地研究 CARE 的机制和效果。