更好的准备和培训决定了家庭护理人员在促进心力衰竭自我护理方面的自我效能。
Better Preparation and Training Determine Home Care Workers' Self-Efficacy in Contributing to Heart Failure Self-Care.
机构信息
Robert Wood Johnson Foundation Future of Nursing Scholar.
School of Nursing, 16142University of Pennsylvania, Philadelphia, PA, USA.
出版信息
J Appl Gerontol. 2023 Apr;42(4):651-659. doi: 10.1177/07334648221113322. Epub 2022 Jul 8.
OBJECTIVE
Identify determinants of home care workers' (HCW) self-efficacy in contributing to heart failure (HF) self-care.
METHODS
Secondary analysis of a survey ( = 328) examining characteristics of HCWs caring for adults with HF in New York. Self-efficacy assessed using Caregiver Self-Efficacy in Contributing to Self-Care Scale. Standardized scores range 0-100; ≥ 70 points indicate adequate self-efficacy. Characteristics determined by self-efficacy (low vs. adequate). Prevalence ratios with 95% confidence intervals (PR [95% CI]) were estimated using multivariable Poisson regression with robust standard errors.
RESULTS
Home care workers with adequate self-efficacy had at least some prior HF training (55% vs. 17%, < .001) and greater job satisfaction (90% vs. 77%, = .003). Significant determinants for adequate self-efficacy were employment length (1.02 [1.00-1.03], = .027), preparation for caregiving (3.10 [2.42-3.96], < .001), and HF training (1.48 [1.20-1.84], < .001).
CONCLUSION
Home care agencies and policy-makers can target caregiving preparation and HF training to improve HCWs' confidence in caring for adult HF patients.
目的
确定居家照护工作者（HCW）对心力衰竭（HF）自我护理贡献的自我效能感的决定因素。
方法
对在纽约为 HF 成人提供护理的 HCW 进行调查（n=328）的二次分析。使用照顾者对自我护理贡献的自我效能感量表评估自我效能感。标准分数范围为 0-100；≥70 分表示自我效能感充足。通过自我效能感确定特征（低与充足）。使用多变量泊松回归和稳健标准误差估计具有 95%置信区间（PR [95%CI]）的患病率比。
结果
自我效能感充足的居家照护工作者至少接受过一些 HF 培训（55%比 17%，<0.001），工作满意度更高（90%比 77%，=0.003）。充足自我效能感的显著决定因素包括就业时间（1.02[1.00-1.03]，=0.027）、护理准备（3.10[2.42-3.96]，<0.001）和 HF 培训（1.48[1.20-1.84]，<0.001）。
结论
居家照护机构和政策制定者可以针对护理准备和 HF 培训，以提高 HCW 对照顾 HF 成年患者的信心。
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