Nayak Malathi G, Pai Radhika R, Nayak Baby S, Upadya P Sudhakara, Salins Naveen
Department of Community Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Udupi, Karnataka, 576104, India.
Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Udupi, Karnataka, 576104, India.
F1000Res. 2022 Jul 1;11:733. doi: 10.12688/f1000research.111644.1. eCollection 2022.
To determine the effectiveness of capacity building program on palliative care (PC) in enhancing the capacity of the primary health care workers in need assessment and symptom management of cancer patients. In India, less than one percent of people living with cancer have access to palliative care since most are from low- and middle-income groups. Accredited social health activist (ASHA) and primary health care workers are grassroots workers who are the first contact with family members and are seldom aware of PC in India. It is essential to train them to give practical and efficient care to needy people. A quasi-experimental design with follow-up will be conducted using an evaluative approach. The study population consists of 1440 Primary Health Care Workers (staff nurses, ANMs, and ASHA workers) of three taluks of Udupi District, Karnataka State, India. Training on PC will be provided for ASHA workers for one day and ANM/Staff nurses for three days. After their training, they are expected to demonstrate the gain in knowledge & skill in providing PC for cancer patients by identifying and implementing PC services using a mobile app at the primary healthcare level. Palliative home care can give comfort and reduce patients' financial burden, and this training may help to improve the quality of life of needy patients. If this palliative care training program succeeds, it can be integrated into the healthcare continuum, making it an essential component of primary healthcare delivery to achieve universal health coverage. Moreover, home-based PC supports patients who want to die at home even though it reduces hospital stay costs. CTRI/2020/04/024792.
确定姑息治疗能力建设项目在提高初级卫生保健工作者对癌症患者需求评估和症状管理能力方面的有效性。在印度，由于大多数癌症患者来自低收入和中等收入群体，只有不到1%的癌症患者能够获得姑息治疗。经认证的社会健康活动家（ASHA）和初级卫生保健工作者是基层工作者，他们是与家庭成员的首次接触者，在印度很少了解姑息治疗。对他们进行培训，以便为有需要的人提供切实有效的护理至关重要。将采用评估方法进行一项有随访的准实验设计。研究人群包括印度卡纳塔克邦乌度皮区三个乡的1440名初级卫生保健工作者（护士、助产士和ASHA工作者）。将为ASHA工作者提供为期一天的姑息治疗培训，为助产士/护士提供为期三天的培训。培训后，预计他们将通过在初级卫生保健层面使用移动应用程序识别和实施姑息治疗服务，来展示在为癌症患者提供姑息治疗方面知识和技能的提升。姑息家庭护理可以提供舒适并减轻患者的经济负担，这项培训可能有助于改善有需要患者的生活质量。如果这个姑息治疗培训项目取得成功，它可以融入医疗服务连续体，成为实现全民健康覆盖的初级卫生保健服务的重要组成部分。此外，居家姑息治疗支持那些希望在家中离世的患者，尽管它降低了住院费用。CTRI/2020/04/024792。
