干扰性护理的效果：一项针对在多个生活领域存在严重问题的人群的社区护理项目。
Effects of interferential care: a community-based care program for persons with severe problems on several life areas.
作者信息
Roeg Diana P K, van de Goor Ien A M, Voogt Margot C M, van Assen Marcel A L M, Garretsen Henk F L
机构信息
Tranzo Department, Tilburg University, Tilburg, The Netherlands Mental Health Care Institute GGz Eindhoven and the Kempen, Eindhoven, The Netherlands
Tranzo Department, Tilburg University, Tilburg, The Netherlands.
出版信息
Int J Soc Psychiatry. 2014 Sep;60(6):584-94. doi: 10.1177/0020764013507247. Epub 2013 Nov 11.
BACKGROUND AND AIMS
Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care.
METHODS
In a multisite, pretest-posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling.
RESULTS
Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral.
CONCLUSION
Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of home-based practice.
背景与目的
干扰性护理不同于当前基于社区的护理项目，它针对的是一个更大的异质性群体，并在多组织护理团队中结合了中介服务和全方位服务元素。该团队自行提供所有服务，但目的是在几个月内让客户为转介到常规（门诊）医疗服务做好准备。本研究的目的是评估干扰性护理的有效性。
方法
采用多地点、前后测试设计，对三个干扰性护理团队的523名患者进行随访。在基线、转介时以及转介后6个月再次评估生活质量、问题严重程度、转介问题和参与度。使用线性混合模型进行分析。
结果
干扰性护理对生活质量和问题严重程度显示出中度至强烈的影响。这些影响持续存在（生活质量）或进一步改善（问题严重程度），直至转介到常规服务后6个月的随访。对参与度和转介问题也有微小影响。
结论
干扰性护理显著改善了在多个生活领域存在严重问题且目前未得到医疗服务覆盖的人群的生活质量和问题严重程度。对于常规护理已经包含许多居家护理元素的医疗系统而言，它是一个有前景的基于社区的护理项目。
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