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一项由护士主导的家访计划对成年哮喘患者照顾者护理负担的影响:一项随机对照试验。

The effect of a nurse-led home visit program on the care burden of caregivers of adults with asthma: A randomized controlled trial.

作者信息

Şanlıtürk Döndü, Ayaz-Alkaya Sultan

机构信息

Tokat Gaziosmanpaşa University, Erbaa Health Sciences Faculty, Nursing Department, Tokat, Turkey.

Gazi University, Nursing Faculty, Ankara, Turkey.

出版信息

Public Health Nurs. 2023 Nov-Dec;40(6):895-902. doi: 10.1111/phn.13247. Epub 2023 Aug 16.

Abstract

OBJECTIVE

This study aimed to determine the effect of a home visit program on the perceived care burden of family caregivers of adults with asthma.

DESIGN

A single-blind randomized controlled trial.

SAMPLE

The study was conducted with 30 participants in both the intervention and control groups.

MEASUREMENTS

Care burden was measured via the Zarit Caregiver Burden Scale during the first interview at the pulmonology outpatient clinic and after the last home visit.

INTERVENTION

A nurse-led home visit program with five visits over three months included education and health counseling with the intervention group. Control group received standard education given in the outpatient clinic.

RESULTS

The mean Zarit Caregiver Burden Scale scores of the intervention group in the post-test were significantly lower than the control group.

CONCLUSIONS

The current study revealed that the nurse-led home visit program, including education and health counseling, was effective in reducing the care burden for family caregivers of adults with asthma. Nurses can play an active role in preventing the negative effects of caregivers' burden of care, protecting their sense of control, and improving their health. Home visits integrated into the health care system could be effective in reducing the care burden of family members.

摘要

目的

本研究旨在确定家访计划对成年哮喘患者家庭照顾者所感受到的护理负担的影响。

设计

单盲随机对照试验。

样本

干预组和对照组均有30名参与者。

测量

在肺科门诊首次访谈时以及最后一次家访后,通过 Zarit 照顾者负担量表测量护理负担。

干预

由护士主导的家访计划,在三个月内进行五次家访,干预组包括教育和健康咨询。对照组接受门诊提供的标准教育。

结果

干预组在后测中的 Zarit 照顾者负担量表平均得分显著低于对照组。

结论

当前研究表明,由护士主导的家访计划,包括教育和健康咨询,在减轻成年哮喘患者家庭照顾者的护理负担方面是有效的。护士可以在预防照顾者护理负担的负面影响、保护他们的控制感以及改善他们的健康方面发挥积极作用。纳入医疗保健系统的家访在减轻家庭成员的护理负担方面可能是有效的。

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