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评估在线家庭护理员支持计划对有姑息治疗需求的患者非专业护理人员的影响。

Evaluation of an Online Home Caregiver Support Program for Non-Professional Caregivers of Patients With Palliative Care Needs.

机构信息

12366Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Am J Hosp Palliat Care. 2021 Sep;38(9):1099-1105. doi: 10.1177/1049909120968257. Epub 2020 Oct 20.

DOI:10.1177/1049909120968257
PMID:33078620
Abstract

BACKGROUND

Caring for loved ones with palliative needs can be very stressful for carers'. To address this growing issue, an online Home Caregiver Support Program course was created to provide information to non-professional home caregivers about end-of-life care.

OBJECTIVES

To measure non-professional caregivers' perceived level of competence in addressing physical, psychological, social, and spiritual needs before and after completing online training modules.

METHODS

Learners rated their competence before and after completing online modules addressing 4 key dimensions relevant to palliative caregivers. Self-ratings of competence were assessed through surveys, completed before and after the online modules. Scores from before and after each module were compared to determine if the online course had increased participant competence. The Wilcoxon signed rank test was used to analyze participant responses to the pre- and post-survey questions.

RESULTS

A total of 176 participants who completed one or more of the online modules between July 2017-December 2018, 70 (40%) of the participants completed at least one pre- and post-module survey and did not declare themselves as a professional caregiver. Participating in the online Home Caregiver Support Program increased participants' ratings of perceived competence in all domains (p < .01). This significance was maintained when professional caregivers were added to our analysis.

CONCLUSION

After the completing the modules, participants' self-ratings of perceived competence increased suggesting that participants completing the online program had improved knowledge in addressing the physical, psychological, social, and spiritual challenges faced by non-professional caregivers.

摘要

背景

照顾有姑息治疗需求的亲人会给护理人员带来很大的压力。为了解决这个日益严重的问题,创建了一个在线家庭护理员支持计划课程,为非专业家庭护理员提供有关临终关怀的信息。

目的

在完成在线培训模块前后,测量非专业护理人员在满足身体、心理、社会和精神需求方面的感知能力水平。

方法

学习者在完成在线模块之前和之后,对自己在与姑息治疗护理人员相关的 4 个关键维度上的能力进行自评。通过调查,在完成在线模块之前和之后评估自我能力评估。比较每个模块前后的分数,以确定在线课程是否提高了参与者的能力。使用 Wilcoxon 符号秩检验分析参与者对预调查和后调查问题的反应。

结果

共有 176 名参与者在 2017 年 7 月至 2018 年 12 月期间完成了一个或多个在线模块,其中 70 名(40%)参与者完成了至少一个预和后模块调查,且未声明自己为专业护理人员。参加在线家庭护理员支持计划增加了参与者在所有领域的感知能力水平(p <.01)。当将专业护理人员纳入我们的分析时,这一意义仍然存在。

结论

完成模块后,参与者对感知能力的自我评分提高,这表明完成在线课程的参与者在解决非专业护理人员面临的身体、心理、社会和精神挑战方面提高了知识水平。

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