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[痴呆症临终关怀信息手册的评估:一项评估家庭护理人员和医疗保健专业人员偏好的混合方法研究]

[Evaluation of an information booklet on end-of-life care in dementia: a mixed-methods study assessing the preferences of family caregivers and healthcare professionals].

作者信息

Bavelaar Laura, Visser Mandy, Dijkstra Eva J, van der Steen Jenny T, Sizoo Eefje M

机构信息

Leids Universitair Medisch Centrum (LUMC).

Amsterdam Universitair Medische Centra.

出版信息

Tijdschr Gerontol Geriatr. 2023 Jun 11;54(2). doi: 10.36613/tgg.1875-6832/2023.02.03.

DOI:10.36613/tgg.1875-6832/2023.02.03
PMID:37646355
Abstract

A booklet was developed in Canada in 2005 to inform family caregivers of people with dementia about end-of-life care. A Dutch version was published in 2011 after evaluation and revision. Developments in research and society call for a second revision. The aim of this study was to map out users' (family caregivers and healthcare professionals) preferences regarding the look and feel, and content of the booklet. To this end, in addition to the current paper booklet, we created a prototype website and app, along with three illustration options. Twenty-one family caregivers and nineteen healthcare professionals completed a questionnaire about their preferences. Open ended questions were analyzed using content analysis, multiple-choice questions using descriptive analysis. The participants valued the question-answer format. They perceived the text as too medically oriented and they expressed a need for more inclusive language and broader information. The participants found images of people suitable for the booklet and they preferred the illustrations to be less focused on the medical context. The participants preferred the paper booklet and a website. By understanding family caregivers' and healthcare professionals' preferences, in the second revision, the booklet can be tailored to the user. It is expected that this tailoring will support informing family caregivers about end-of-life care.

摘要

2005年,加拿大编写了一本小册子,向痴呆症患者的家庭护理人员介绍临终护理相关信息。2011年,经过评估和修订后出版了荷兰语版本。研究和社会的发展促使进行第二次修订。本研究的目的是明确用户(家庭护理人员和医疗保健专业人员)对小册子的外观、感觉和内容的偏好。为此,除了现有的纸质小册子外,我们还创建了一个原型网站和应用程序,以及三种插图选项。21名家庭护理人员和19名医疗保健专业人员完成了一份关于他们偏好的问卷。对开放式问题采用内容分析法进行分析,对多项选择题采用描述性分析法进行分析。参与者重视问答形式。他们认为文本过于以医学为导向,他们表示需要更具包容性的语言和更广泛的信息。参与者认为适合小册子的人物图片,并且他们更喜欢插图较少关注医学背景。参与者更喜欢纸质小册子和网站。通过了解家庭护理人员和医疗保健专业人员的偏好,在第二次修订中,可以使小册子更贴合用户需求。预计这种调整将有助于向家庭护理人员介绍临终护理相关信息。

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