一项针对心力衰竭护理二元组的团队协作干预的试点随机临床试验。
A pilot randomized clinical trial of a teamwork intervention for heart failure care dyads.
作者信息
Irani Elliane, Niyomyart Atsadaporn, Dolansky Mary A, Stephens John Paul, Ganocy Stephen J, Josephson Richard A, Hickman Ronald L
机构信息
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
出版信息
Heart Lung. 2021 Nov-Dec;50(6):877-884. doi: 10.1016/j.hrtlng.2021.07.008. Epub 2021 Aug 15.
BACKGROUND
Dyadic heart failure (HF) management can improve outcomes for patients and caregivers and can be enhanced through eHealth interventions.
OBJECTIVE
To evaluate the feasibility, acceptability, and preliminary efficacy of an eHealth dyadic teamwork intervention, compared to an attention control condition.
METHODS
We recruited 29 HF patient-caregiver dyads from inpatient units and randomized dyads to an intervention or a control group. We calculated enrollment and retention rates, described acceptability using interview and questionnaire data, and computed intervention effect sizes.
RESULTS
37% of eligible dyads agreed to participate and 93% of randomized participants completed follow-up questionnaires. Participants found both study conditions to be acceptable. Between-group effect sizes suggested that the intervention led to improvements in relationship quality, self-efficacy, and quality of life for patients and caregivers.
CONCLUSIONS
Dyadic recruitment from acute care settings is challenging. Findings provide initial evidence that our intervention can contribute to better health outcomes for HF dyads.
背景
二元心力衰竭（HF）管理可以改善患者和照护者的预后，并且可以通过电子健康干预得到加强。
目的
与注意力控制组相比，评估电子健康二元团队干预的可行性、可接受性和初步疗效。
方法
我们从住院病房招募了29对HF患者-照护者二元组，并将二元组随机分为干预组或对照组。我们计算了入组率和保留率，使用访谈和问卷数据描述了可接受性，并计算了干预效应大小。
结果
37%的符合条件的二元组同意参与，93%的随机参与者完成了随访问卷。参与者认为两种研究条件都是可以接受的。组间效应大小表明，干预导致患者和照护者的关系质量、自我效能和生活质量得到改善。
结论
从急性护理环境中招募二元组具有挑战性。研究结果提供了初步证据，表明我们的干预可以为HF二元组带来更好的健康结果。
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