培训护士评估常规家庭护理实践中的复杂性：从居家护理综合评估量表（interRAI-HC）推导复杂性指数
Tooling nurses to assess complexity in routine home care practice: Derivation of a complexity index from the interRAI-HC.
作者信息
Busnel Catherine, Vallet Fanny, Ludwig Catherine
机构信息
Research and Development Unit, Geneva Institution for Homecare and Assistance (imad), Carouge, Switzerland.
Geneva School of Health Sciences, HES-SO, University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland.
出版信息
Nurs Open. 2021 Mar;8(2):815-823. doi: 10.1002/nop2.686. Epub 2020 Nov 25.
Abstract
AIM
Home care nurses often use the Resident Assessment Instrument-Home Care (interRAI-HC) to assess health needs. However, this tool does not assess complexity. This study proposes to derive a complexity index (CI) from the interRAI-HC using the operational definition of the dedicated COMID checklist (COmplexité Multidimensionnelle des prises en soins Infirmières à Domicile).
DESIGN
Data were collected at the baseline assessment of the fraXity study (N = 231, aged ≥ 65), which relied on an observational longitudinal design.
METHODS
Measures were the interRAI-HC, from which the CI binary variables were computed and the COMID, used as a reference.
RESULTS
Twenty-six CI variables were computed from the interRAI-HC, and all but three correlations were significant. The correlation between the CI score and the COMID score was ρ = 0.730 (p < .001).
CONCLUSIONS
The study demonstrates that complexity can be assessed directly from the interRAI-HC by deriving a CI.
摘要
目的
家庭护理护士经常使用居家护理居民评估工具（interRAI-HC）来评估健康需求。然而，该工具并未评估复杂性。本研究建议使用专门的COMID清单（家庭护理中多维护理复杂性）的操作定义，从interRAI-HC中得出一个复杂性指数（CI）。
设计
在衰弱研究的基线评估时收集数据（N = 231，年龄≥65岁），该研究采用观察性纵向设计。
方法
测量指标为interRAI-HC，从中计算出CI二元变量，并将COMID用作参考。
结果
从interRAI-HC中计算出26个CI变量，除3个外所有相关性均显著。CI分数与COMID分数之间的相关性为ρ = 0.730（p <.001）。
结论
该研究表明，通过得出CI，可以直接从interRAI-HC中评估复杂性。
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