家庭护理对话对家庭在家庭保健中的影响：一项对照前后研究。
Effects of family nursing conversations on families in home health care: A controlled before-and-after study.
机构信息
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands.
Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
J Adv Nurs. 2021 Jan;77(1):231-243. doi: 10.1111/jan.14599. Epub 2020 Oct 17.
AIM
To assess the effects of family nursing conversations on family caregiver burden, patients' quality of life, family functioning and the amount of professional home health care.
DESIGN
A controlled before-and-after design.
METHODS
Intervention group families participated in two family nursing conversations incorporated in home health care; control group families received usual home health care. Patients and family members completed a set of questionnaires on entering the study and 6 months later to assess family caregiver burden, family functioning and patients' quality of life. The amount of home health care was extracted from patient files. Data were collected between January 2018-June 2019.
RESULTS
Data of 51 patients (mean age 80; 47% male) and 61 family members (mean age 67; 38% male) were included in the results. Family caregiver burden remained stable in the intervention group whereas it increased in the control group. Family functioning improved significantly compared with the control group for patients and family members in the intervention group. No significant effects on patients' quality of life emerged. The amount of professional home health care decreased significantly in the intervention group whereas it remained equal in the control group.
CONCLUSION
Family nursing conversations prevented family caregiver burden, improved family functioning, but did not affect patients' quality of life. In addition, the amount of home health care decreased following the family nursing conversations.
IMPACT
Countries with ageing populations seek to reduce professional and residential care and therefore encourage family caregiving. Intensive family caregiving, however, places families at risk for caregiver burden which may lead to increased professional care and admission into residential care. This study demonstrates that family nursing conversations help nurses to prevent family caregiver burden and improve family functioning while decreasing the amount of home health care.
目的
评估家庭护理对话对家庭照顾者负担、患者生活质量、家庭功能和家庭保健服务量的影响。
设计
对照前后设计。
方法
干预组家庭参与家庭保健服务中包含的两次家庭护理对话；对照组家庭接受常规家庭保健服务。患者和家庭成员在入组时和 6 个月后完成一套问卷，以评估家庭照顾者负担、家庭功能和患者生活质量。家庭保健服务量从患者档案中提取。数据收集于 2018 年 1 月至 2019 年 6 月期间。
结果
共有 51 名患者（平均年龄 80 岁；47%为男性）和 61 名家庭成员（平均年龄 67 岁；38%为男性）的数据纳入结果。干预组家庭照顾者负担保持稳定，而对照组则增加。与对照组相比，干预组患者和家庭成员的家庭功能显著改善。患者生活质量无显著影响。干预组家庭保健服务量显著减少，而对照组则保持不变。
结论
家庭护理对话可预防家庭照顾者负担，改善家庭功能，但对患者生活质量无影响。此外，家庭护理对话后家庭保健服务量减少。
影响
人口老龄化的国家寻求减少专业和居住护理，因此鼓励家庭护理。然而，密集的家庭护理使家庭面临照顾者负担的风险，这可能导致增加专业护理和入住养老院。本研究表明，家庭护理对话有助于护士预防家庭照顾者负担和改善家庭功能，同时减少家庭保健服务量。
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