College of Nursing - Omaha Division, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, USA.
Vanderbilt University School of Nursing, 461 21st Ave S, Nashville, TN 37240, USA.
Geriatr Nurs. 2023 May-Jun;51:156-166. doi: 10.1016/j.gerinurse.2023.03.002. Epub 2023 Mar 28.
Despite the frequent hospitalizations and readmissions of persons living with dementia (PLWD), no telehealth transitional care interventions focus on PLWDs' unpaid caregivers. Tele-Savvy Caregiver Program is a 43-day evidence-based online psychoeducational intervention for PLWDs' caregivers. The aim of this formative evaluation was to explore caregivers' acceptability of and experience with their participation in Tele-Savvy after their PLWDs' hospital discharge. Additionally, we gathered caregivers' feedback on the recommended features of a transitional care intervention, suitable for caregivers' schedule and needs post-discharge. Fifteen caregivers completed the interviews. Data were analyzed via conventional content analysis. Four categories were identified: (1) Tele-Savvy improved participants' understanding of dementia and caregiving; (2) hospitalization started a "new level of normal"; (3) PLWDs' health concerns; and (4) transitional care intervention development. Participation in Tele-Savvy was acceptable for most caregivers. Participants' feedback provides content and structural guidance for the development of a new transitional care intervention for PLWDs' caregivers.
尽管患有痴呆症的人(PLWD)经常住院和再次入院,但没有任何远程医疗过渡护理干预措施关注 PLWD 的无薪照顾者。Tele-Savvy 护理人员计划是一项为期 43 天的基于证据的在线心理教育干预措施,适用于 PLWD 的护理人员。本形成性评估的目的是探讨护理人员在 PLWD 出院后的参与度和对 Tele-Savvy 的体验。此外,我们还收集了护理人员对过渡护理干预措施的推荐功能的反馈意见,这些功能适合护理人员出院后的日程安排和需求。15 名照顾者完成了访谈。通过常规内容分析对数据进行分析。确定了四个类别:(1)Tele-Savvy 提高了参与者对痴呆症和护理的理解;(2)住院治疗开始了“新的正常水平”;(3)PLWD 的健康问题;(4)过渡护理干预措施的发展。大多数照顾者都可以接受 Tele-Savvy 的参与。参与者的反馈为 PLWD 照顾者的新过渡护理干预措施的开发提供了内容和结构指导。