Janson L K, Dudgeon D, Nelson F, Henteleff P, Balneaves L
Faculty of Health and Human Sciences, Edith Cowan University, Churchlands, Western Australia.
J Palliat Care. 1997 Autumn;13(3):5-12.
Our study was a pilot test of an interdisciplinary training program in palliative care to improve the quality of care to terminally ill cancer and AIDS patients in rural and northern communities in Manitoba. The program involved two weeks of intense palliative care training for nurses, social workers, physicians, and volunteers. Four teams were trained during a six-month period. A repeated measures design was used to assess the effectiveness of the program. Results indicated that health professionals' knowledge about care of the dying, care of individuals with HIV/AIDS, and attitudes toward care of the dying improved upon completion of the training program and remained improved three months following the program. Improvements in use of medications, increased attention to family care, increased discussion of DNR orders, and increased consultation related to symptom management were evident following the training program. The parallel training program for volunteers was also judged to be effective.
我们的研究是一项姑息治疗跨学科培训项目的试点测试，旨在提高马尼托巴省农村和北部社区晚期癌症及艾滋病患者的护理质量。该项目包括为护士、社会工作者、医生和志愿者提供为期两周的强化姑息治疗培训。在六个月的时间里培训了四个团队。采用重复测量设计来评估该项目的有效性。结果表明，卫生专业人员在完成培训项目后，其关于临终护理、艾滋病毒/艾滋病患者护理的知识以及对临终护理的态度均有所改善，并且在项目结束三个月后仍保持改善。培训项目结束后，在药物使用、对家庭护理的更多关注、对“不要复苏”医嘱的更多讨论以及与症状管理相关的咨询增加方面都很明显。志愿者的平行培训项目也被判定为有效。
