Hashemlu Leila, Esmaeili Roghayeh, Bahramnezhad Fatemeh, Rohani Camelia
PhD Student in Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Associate Professor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ARYA Atheroscler. 2022 Jul;18(4):1-10. doi: 10.48305/arya.2022.24350.
Home healthcare guidelines emphasize the engagement of family caregivers of heart failure (HF) patients in patient care at home. Thus, this study was conducted with the aim to explore the deep experiences of home care team members regarding the needs of family caregivers of HF patients in home healthcare services in Iran.
The present qualitative study was performed with a conventional content analysis approach. Data were collected through in-depth, semi-structured interviews with 23 participants who were recruited through purposive sampling. The Data were analyzed using the Graneheim and Lundman method for conventional content analysis in MAXQDA Software.
The participants included 14 women and 9 men with the mean age of 46.21 ± 11.44 years. After analyzing the interviews, 3 main categories and 15 subcategories were extracted. The main categories were "family caregiver's unmet needs" (with 5 subcategories), "Empowering Informal Caregivers" (with 3 subcategories), and "access to a standard home healthcare system" (with 7 subcategories).
Deep understanding of the needs of family caregivers of HF patients in home health care services increases the quality of services, the quality of life (QOL) of the family, and prevents patients' hospital readmissions. Moreover, it will contribute to our next project of the home healthcare guideline for HF patients in the health care system of Iran. Identifying the training needs of caregivers within the home health care services has an important role in the designing of education strategies in policy making programs at the level of the Ministry of Health or planning at lower levels of the health network.
家庭医疗保健指南强调让心力衰竭（HF）患者的家庭护理人员参与患者的居家护理。因此，本研究旨在探讨家庭护理团队成员对伊朗家庭医疗保健服务中HF患者家庭护理人员需求的深刻体验。
本定性研究采用传统内容分析法。通过对23名通过目的抽样招募的参与者进行深入的半结构化访谈收集数据。使用格兰海姆和伦德曼方法在MAXQDA软件中对数据进行传统内容分析。
参与者包括14名女性和9名男性，平均年龄为46.21±11.44岁。分析访谈后，提取了3个主要类别和15个子类别。主要类别为“家庭护理人员未满足的需求”（有5个子类别）、“增强非正式护理人员的能力”（有3个子类别）和“获得标准家庭医疗保健系统”（有7个子类别）。
深入了解家庭医疗保健服务中HF患者家庭护理人员的需求可提高服务质量、家庭生活质量（QOL），并防止患者再次住院。此外，它将有助于我们在伊朗医疗保健系统中开展的下一个HF患者家庭医疗保健指南项目。确定家庭医疗保健服务中护理人员的培训需求在卫生部层面的政策制定计划或卫生网络较低层面的规划中的教育策略设计中具有重要作用。
