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导医培训项目(GETCare):基于目标的 caregiver 教育与技能培训。

Piloting GETCare: A Goal-Based Education and Skills Training Program for Caregivers.

机构信息

Department of Occupational and Recreational Therapies, University of Utah, Salt Lake City, UT, USA.

Department of Neurology, University of Utah, Salt Lake City, USA.

出版信息

Rehabil Nurs. 2022;47(6):220-227. doi: 10.1097/RNJ.0000000000000383. Epub 2022 Jul 27.

Abstract

PURPOSE

Many individuals with stroke require informal caregiver support. These caregivers are often unprepared and overwhelmed. This study assesses the feasibility and acceptability of GETCare, a remote Goal-based Education and skills Training program for Caregivers caring for an individual poststroke.

DESIGN

Single-arm mixed-methods pilot trial was performed.

METHODS

The GETCare program is a 5-week remote, individually administered program for informal stroke caregivers that includes education, skills training, guided goal setting, and resource recommendations. Quantitative data were analyzed using descriptive statistics and qualitative data via a deductive approach.

RESULTS

Twenty-eight caregivers were recruited with 18 caregivers completing the program. These 18 caregivers reported high satisfaction, and over 75% reported program content was at least quite helpful. Caregivers suggested that the length of the program was appropriate, indicated that weekly check-ins were helpful, and supported this program for informal caregivers across the time trajectory poststroke. Eight of 10 caregivers who dropped out of the program were caring for someone 0-4 months poststroke.

CONCLUSIONS

Caregivers positively received the GETCare program, which was uniquely structured to provide resources and skills for this high-need population. This pilot study provides valuable insight for future remote interventions poststroke.

CLINICAL RELEVANCE TO PRACTICE OF NURSING

Results provide foundational knowledge in how to better support caregivers through guided goal setting and individualized education.

摘要

目的

许多中风患者需要非专业护理人员的支持。这些护理人员往往没有准备好,感到不知所措。本研究评估了 GETCare 的可行性和可接受性,GETCare 是一种针对中风后个体护理人员的远程基于目标的教育和技能培训计划。

设计

单臂混合方法试点试验。

方法

GETCare 计划是一个为期 5 周的远程、个体化的非专业中风护理人员培训计划,包括教育、技能培训、指导目标设定和资源推荐。使用描述性统计数据对定量数据进行分析,使用演绎法对定性数据进行分析。

结果

共招募了 28 名护理人员,其中 18 名护理人员完成了该计划。这 18 名护理人员报告满意度很高,超过 75%的护理人员表示计划内容至少非常有帮助。护理人员表示该计划的长度合适,每周的检查很有帮助,并支持为中风后各个时间轨迹的非专业护理人员提供此计划。10 名退出该计划的护理人员中有 8 名正在照顾中风后 0-4 个月的患者。

结论

护理人员对 GETCare 计划给予了积极的反馈,该计划的独特结构为这一高需求人群提供了资源和技能支持。这项试点研究为中风后的远程干预提供了有价值的见解。

临床实践对护理的意义

研究结果提供了关于如何通过指导目标设定和个性化教育更好地支持护理人员的基本知识。

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