由护士主导的临终关怀（PEACH）社区护理模式的可持续性。
Sustainability of a Nurse-Led End of Life (PEACH) Community Model of Care.
作者信息
Chow Josephine Sau Fan, Maurya Nutan, Jobburn Kim, Harlum Janeane
机构信息
Josephine Sau Fan Chow, PhD, MBA, is a Chair of the South Western Sydney Nursing & Midwifery Research Alliance, Ingham Institute for Applied Medical Research, Sydney, New South Wales, Australia; Deputy Director of Research, South Western Sydney Local Health District, Liverpool, New South Wales, Australia; Faculty of Nursing, University of Sydney, Camperdown, New South Wales, Australia; Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia; Faculty of Medicine, Western Sydney University, Sydney, New South Wales, Australia.
Nutan Maurya, PhD, MSc, is a Project Officer, Health Systems, Innovation and Technology, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia; South Western Sydney Local Health District, Sydney, New South Wales, Australia.
出版信息
J Hosp Palliat Nurs. 2025 Aug 22;27(5):E225-34. doi: 10.1097/NJH.0000000000001143.
Palliative Extended and Care at Home (PEACH) program, implemented in 2013, aimed to support palliative care clients in their last days of life at their own home. Understanding the factors that influence the sustainability of a program was vital to improving the longevity, adaptability, and quality of service delivery models. This study aimed to assess the sustainability of PEACH model of care through analysis of data at different time points where services were delivered by different service providers. Deidentified data were collected retrospectively for all consecutive patients receiving a PEACH package until separation from the package to explore the clinical and sociodemographic determinants of the sustainable PEACH model of care. Additionally, feedback on the services via survey was obtained from the clients' primary carers. The majority of the PEACH package recipients who had a clear preference to die at home when the service was initiated were able to achieve their goal to die at home (77%-84%). Eighty-six percent of the carers were "satisfied" or "very satisfied" with the overall care provided by PEACH. The result shows that PEACH model of care managed to sustain and optimize the patients' outcome despite transitioning to different service providers for partnerships and collaboration.
姑息性延长护理与居家护理（PEACH）项目于2013年实施，旨在支持姑息治疗患者在生命的最后时光在家中接受护理。了解影响项目可持续性的因素对于提高服务提供模式的持久性、适应性和质量至关重要。本研究旨在通过分析不同时间点由不同服务提供者提供服务时的数据，评估PEACH护理模式的可持续性。对所有连续接受PEACH套餐服务直至与该套餐分离的患者进行回顾性收集去识别化数据，以探究可持续PEACH护理模式的临床和社会人口学决定因素。此外，通过调查从患者的主要照料者那里获得了对服务的反馈。大多数在服务开始时明确希望在家中离世的PEACH套餐接受者能够实现在家中离世的目标（77%-84%）。86%的照料者对PEACH提供的整体护理“满意”或“非常满意”。结果表明，尽管为了合作与协作转由不同服务提供者提供服务，但PEACH护理模式仍成功维持并优化了患者的治疗效果。
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