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传统视频与电视剧比较对临终关怀家庭照护者教育的影响。

Comparison of Traditional Videos With Telenovelas for Hospice Family Caregivers Education.

机构信息

Internal Medicine, Palliative Medicine Program, Johns Hopkins Hospital, Baltimore, MD, USA.

1466Johns Hopkins University School of Nursing, Baltimore, MD, USA.

出版信息

Am J Hosp Palliat Care. 2021 Oct;38(10):1230-1237. doi: 10.1177/1049909121991524. Epub 2021 Feb 8.

DOI:10.1177/1049909121991524
PMID:33550835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9058977/
Abstract

BACKGROUND

While research has shown that hospice family caregivers (HFCG) seek additional information related to patient care, pain and symptom management, and self-care, it is unknown how the use of telenovela videos for education in hospice would be received by HFCG.

OBJECTIVE

To explore HFCG perceived benefits and challenges with the use of telenovelas as compared to traditional educational videos during online support group.

METHODS

A mixed methods study with a concurrent triangulated design that analyzed qualitative interviews and YouTube analytics report to identify how viewers responded (number of views and their feedback) to telenovela videos as compared to traditional educational videos.

RESULTS

Among 39 (n = 39) HFCGs, most participants were female (80%) of White/Caucasian race, with more than high school education (85%) and they were adult children of hospice cancer patient (49%). Comparing HFCG that viewed traditional videos with HFCG that viewed telenovela videos, the telenovela video was watched more (12% longer viewing duration) and caregivers reported better content recall with informative benefits, more follow up actions and reflection about their own hospice experience.

CONCLUSION

Caregiver feedback indicated that watching the telenovela was engaging, acceptable and produced more conversations about patient care, than watching a non-telenovela format video. Further research is needed to test telenovela efficacy in enhancing HFCG outcomes.

摘要

背景

研究表明,临终关怀家庭照顾者(HFCG)寻求与患者护理、疼痛和症状管理以及自我护理相关的额外信息,但尚不清楚在临终关怀中使用电视剧视频进行教育会如何被 HFCG 接受。

目的

探讨 HFCG 在使用电视剧与传统教育视频方面的感知益处和挑战,与在线支持小组相比。

方法

一项混合方法研究,采用并发三角设计,分析定性访谈和 YouTube 分析报告,以确定观众对电视剧视频(与传统教育视频相比)的反应(观看次数和反馈)。

结果

在 39 名(n = 39)HFCG 中,大多数参与者为女性(80%),属于白种人/高加索人,受过高中以上教育(85%),是临终关怀癌症患者的成年子女(49%)。与观看传统视频的 HFCG 相比,观看电视剧视频的 HFCG 观看时间更长(观看时间长 12%),并且护理人员报告说内容回忆效果更好,具有信息丰富的益处,更多的后续行动,并对自己的临终关怀经历进行了反思。

结论

护理人员的反馈表明,与观看非电视剧格式的视频相比,观看电视剧更具吸引力、可接受性,并能引发更多关于患者护理的讨论。需要进一步研究来测试电视剧在增强 HFCG 结果方面的效果。

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本文引用的文献

1
Reflections of Hospice Staff Members About Educating Hospice Family Caregivers Through Telenovela.临终关怀工作人员对通过肥皂剧对临终关怀家庭照顾者进行教育的思考。
Am J Hosp Palliat Care. 2021 Feb;38(2):161-168. doi: 10.1177/1049909120936169. Epub 2020 Jul 8.
2
Randomized trial of a hospice video educational tool for patients with advanced cancer and their caregivers.随机对照试验:临终关怀视频教育工具对晚期癌症患者及其照顾者的影响
Cancer. 2020 Aug 1;126(15):3569-3578. doi: 10.1002/cncr.32967. Epub 2020 Jun 8.
3
The evidence supporting educational videos for patients and caregivers receiving hospice and palliative care: A systematic review.
支持为接受临终关怀和姑息治疗的患者和护理人员提供教育视频的证据:系统评价。
Patient Educ Couns. 2020 Sep;103(9):1677-1691. doi: 10.1016/j.pec.2020.03.014. Epub 2020 Mar 19.
4
Family Caregiving in Serious Illness in the United States: Recommendations to Support an Invisible Workforce.美国严重疾病患者的家庭护理:支持一支隐形劳动力的建议。
J Am Geriatr Soc. 2019 May;67(S2):S451-S456. doi: 10.1111/jgs.15820.
5
Pain Management Concerns From the Hospice Family Caregivers' Perspective.从临终关怀家庭照顾者角度看疼痛管理问题
Am J Hosp Palliat Care. 2018 Apr;35(4):601-611. doi: 10.1177/1049909117729477. Epub 2017 Sep 6.
6
Sleep Problems, Anxiety, and Global Self-Rated Health Among Hospice Family Caregivers.临终关怀家庭照顾者的睡眠问题、焦虑与整体自评健康状况
Am J Hosp Palliat Care. 2018 Feb;35(2):244-249. doi: 10.1177/1049909117703643. Epub 2017 Apr 10.
7
Challenges and Strategies for Hospice Caregivers: A Qualitative Analysis.临终关怀护理人员面临的挑战及应对策略:定性分析
Gerontologist. 2017 Aug 1;57(4):648-656. doi: 10.1093/geront/gnw054.
8
Family Caregivers' Pain Management in End-of-Life Care: A Systematic Review.临终关怀中家庭照顾者的疼痛管理:一项系统综述。
Am J Hosp Palliat Care. 2017 Jun;34(5):470-485. doi: 10.1177/1049909116637359. Epub 2016 Mar 14.
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A multimethod analysis of shared decision-making in hospice interdisciplinary team meetings including family caregivers.一项包括家庭护理人员在内的临终关怀跨学科团队会议中共同决策的多方法分析。
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