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针对农村非正规照料者开展教育社区干预以改善与姑息治疗相关的知识和资源:研究方案。

Educational community intervention with nonformal caregivers in a rural population to improve knowledge and resources related to palliative care: Study protocol.

作者信息

Vélez-López Antonia, Carmona-Torres Juan Manuel, López-González Ángel, Laredo-Aguilera José Alberto, Barroso-Corroto Esperanza, Rabanales-Sotos Joseba

机构信息

Castilla-La Mancha Health Department, Primary Healthcare Local Office in Isso, Albacete, Spain.

Doctoral Program in Health Sciences at the University of Castilla-La Mancha, Ciudad Real, Spain.

出版信息

Palliat Care Soc Pract. 2025 Jun 30;19:26323524251349836. doi: 10.1177/26323524251349836. eCollection 2025.

Abstract

BACKGROUND

In Spain, there are between 300,000 and 370,000 people with palliative care needs, and it is believed that fewer than 50% can access them. The current challenge is to combat inequities in access to palliative care resources in the rural environment through training, greater provision of material and human resources, and the involvement of health system managers.

MAIN OBJECTIVE

To determine the effectiveness of an educational community intervention on knowledge of care for nonformal caregivers in a rural area.

DESIGN

A quasi-experimental pretest-posttest study with a control group will be conducted in Isso's primary care setting (Albacete).

METHODS AND ANALYSIS

The sample calculation was performed with the GRANMO program (version 8.0, 2024) with 80 caregivers. The dependent variables will be caregiver support, quality of life, and knowledge of palliative care. The IBM SPSS Statistics version 28 program will be used for statistical analysis. Instruments used were the abbreviated Zarit scale, EuroQol 5D, Goldberg, and PaCKs.

DISCUSSION

Improving the overload in care of the main caregiver of people with palliative care, since it negatively affects health and improves the well-being of informal caregivers.

CONCLUSION

If schools for caregivers were implemented in other health centers or clinics accessible to the population, the empowerment of these people could be improved by reducing costs and enhancing experiences in care.

ETHICS

The protocol was approved by the social research ethics committee of the University of Castilla-la Mancha with reference number CEIS-2024-21094 and by the drug research ethics committee of the Gerencia de Atención Integrada de Albacete with code No. 2024-003.

摘要

背景

在西班牙,有30万至37万人有姑息治疗需求,据信能够获得姑息治疗的人数不到50%。当前的挑战是通过培训、增加物质和人力资源供应以及卫生系统管理人员的参与,来消除农村地区在获取姑息治疗资源方面的不平等现象。

主要目标

确定一项社区教育干预措施对农村地区非正规照料者护理知识的有效性。

设计

将在伊索(阿尔瓦塞特)的初级保健机构进行一项有对照组的准实验性前后测研究。

方法与分析

使用GRANMO程序(8.0版,2024年)对80名照料者进行样本计算。因变量将是照料者支持、生活质量和姑息治疗知识。将使用IBM SPSS Statistics 28版程序进行统计分析。所使用的工具包括简化版的扎里特量表、欧洲五维健康量表、戈德堡量表和姑息治疗知识量表。

讨论

改善姑息治疗患者主要照料者的护理负担过重问题,因为这会对健康产生负面影响,并改善非正规照料者的幸福感。

结论

如果在民众可及的其他健康中心或诊所设立照料者学校,通过降低成本和增强护理体验,可以提高这些人的能力。

伦理

该方案已获得卡斯蒂利亚-拉曼恰大学社会研究伦理委员会批准,编号为CEIS-2024-21094,以及阿尔瓦塞特综合护理管理局药物研究伦理委员会批准,编号为2024-003。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc9/12209573/ea6ea9c4f36a/10.1177_26323524251349836-fig1.jpg

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