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出院计划对慢性病患者照护负担的影响:准实验研究。

Effects of the discharge plan on the caregiving load of people with chronic disease: Quasi-experimental study.

作者信息

Carvajal Carrascal Gloria, Fuentes Ramírez Alejandra, Pulido Barragán Sandra Patricia, Guevara Lozano Maryory, Sánchez-Herrera Beatriz

机构信息

School of Nursing and rehabilitation, Universidad de La Sabana, Chia, Cundinamarca, Colombia.

Nursing Education Coordinator, E.S.E. Hospital Universitario de La Samaritana, Bogota, Cundinamarca, Colombia.

出版信息

Chronic Illn. 2024 Dec;20(4):712-723. doi: 10.1177/17423953231192131. Epub 2023 Aug 3.

Abstract

OBJECTIVE

To determine the effect of an anticipated care plan, structured around hospital discharge (PC-AH-US), regarding the caregiving load of people with NTCD residing in Colombia, 2019-2021.

METHOD

This is a quasi-experimental study with pre- and post-intervention measurements. It includes 1170 participants who represented 585 chronic disease patient-caregiver pairs. We compared the PC-AH-US intervention, to the regular intervention.

RESULTS

The PC-AH-US intervention group showed better results in all dimensions when compared to the regular intervention group: Awareness 8.7 (SD: 0.7) and 6.8 (SD: 1.7); Acknowledgement of their unique conditions 11.3 (SD: 1.0) and 9.4 (SD: 1.8); Capacity to fulfill care tasks 8.8 (SD: 0.7) and 7.5 (SD: 1.5); Wellbeing 11.4 (SD: 0.90) and 8.87 (SD: 2.3); Anticipation 5.88 (SD: 0.4) and 4.7 (SD: 1.1) and Support Network 11.4 (SD: 0.8) and 9.9 (SD: 2.5).

CONCLUSION

The PC-AH-US intervention group showed a statistically significant decrease in the caregiving load for people with NTCD ( < 00). There were no significant institutional differences in readmissions or deaths. The PC-AH-US intervention backs institutional policies meant to care for people with NTCD.

摘要

目的

确定围绕出院制定的预期护理计划(PC - AH - US)对2019 - 2021年居住在哥伦比亚的非传染性疾病患者护理负担的影响。

方法

这是一项采用干预前和干预后测量的准实验研究。研究包括1170名参与者,代表585对慢性病患者 - 护理人员。我们将PC - AH - US干预与常规干预进行了比较。

结果

与常规干预组相比,PC - AH - US干预组在所有维度上均显示出更好的结果:认知度分别为8.7(标准差:0.7)和6.8(标准差:1.7);对自身独特状况的认知分别为11.3(标准差:1.0)和9.4(标准差:1.8);完成护理任务的能力分别为8.8(标准差:0.7)和7.5(标准差:1.5);幸福感分别为11.4(标准差:0.90)和8.87(标准差:2.3);预期分别为5.88(标准差:0.4)和4.7(标准差:1.1);支持网络分别为11.4(标准差:0.8)和9.9(标准差:2.5)。

结论

PC - AH - US干预组显示非传染性疾病患者的护理负担在统计学上有显著降低(<00)。再入院率或死亡率方面没有显著的机构差异。PC - AH - US干预支持旨在照顾非传染性疾病患者的机构政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5976/11622529/a07e15db19f6/10.1177_17423953231192131-fig1.jpg

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