EVALUATION OF CAREGIVING SUPPORT PROGRAM

护理支持计划的评估

• 批准号: 3392032
• 负责人: PATRICIA G ARCHBOLD
• 金额: $ 33.66万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-04-01 至 1993-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3392032
• 关键词: caregivers; family structure /dynamics; geriatric nursing; health care service evaluation; home health care; human old age (65+); interview; longitudinal human study; managed care; nurses; nursing; nursing research; psychological stressor; questionnaires; social support network

Families provide the majority of long-term care given to older persons in the home. Many family members, however, have little preparation for taking on the responsibility of caring for older persons. The long-term objective of this study is to improve the care provided by nurses to impaired older persons and their family caregivers by offering an individualized program of support to caregivers to supplement current levels of in-home care. The Caregiving Support Program (C-S-P) contains three components: 1) Preparation for Caregiving, 2) the Caregiving Advice Line, and 3) the Keep-in-Touch System. The proposed study builds on our previous work, and has two specific objective : 1) to determine whether the C-S-P has beneficial effects for the caregiver, care receiver, family, and health maintenance organization, and 2) to explore the extent to which the C-S-P interacts with individual and family characteristics in affecting the outcome of caregiving. We will conduct the study within the context of a large health maintenance organization in the Pacific Northwest. We will use a sample of 400 dyads (an impaired person 65 years of age or older and the family member or friend who cares for him/her). We will access the dyads when the care receiver is discharged from the hospital in need of prolonged help in one or more of the following areas: personal care, behavior management, protection, or medical management. Dyads will be randomly assigned to one of two treatment conditions. The control condition includes at least one home visit by a home health nurse, and additional visits consistent with current nursing practice in the HMO's home health agency. The experimental condition includes home health care comparable to that provided in the control condition plus the program of individualized interventions for the caregiver called the C-S-P. We will collect interview and questionnaire data from the participants at five points in time: a day or two prior to the care receiver's discharge from the hospital, and approximately 1, 5, 9, and 18 months following discharge. Dependent variables for the study include such concepts as: caregiver role strain, rewards of caregiving, and preparation for caregiving. We developed and pretested measures for these, and for other concepts of interest to us, in our previous research including the Caregiver Relief Study. We will use multivariate analysis of variance and covariance to compare the control and experimental groups on the measures of the dependent variables.

家庭为老年人提供大部分长期护理， 家中然而，许多家庭成员几乎没有准备采取 关于照顾老年人的责任。长期目标 本研究的目的是改善护士对老年人的护理， 通过提供个性化的计划， 为照顾者提供支持，以补充目前的家庭护理水平。的 护理支助方案包括三个组成部分： 护理准备，2）护理咨询热线，以及3） 保持联系系统。这项研究建立在我们以前的工作基础上， 有两个具体目标：1）确定C-S-P是否具有 对护理者、护理接受者、家庭和健康的有益影响 维护组织，2）探索C-S-P 与个人和家庭特征相互作用， 的结果。 我们将在大型健康维护的背景下进行研究 太平洋西北部的组织。我们将使用400个二分体的样本 (an 65岁或以上的残疾人及其家庭成员，或 照顾他/她的朋友）。我们将访问的二元时，照顾 接收器从医院出院，需要长期帮助， 或更多的以下领域：个人护理，行为管理， 保护或医疗管理。二元组将被随机分配到一个 两个治疗条件。控制条件包括至少一个 由家庭保健护士进行家庭访视，以及符合以下要求的额外访视 目前在HMO的家庭健康机构的护理实践。实验 条件包括家庭卫生保健，与 控制条件加上个性化干预方案， 一个叫C-S-P的看护者 我们会收集参加者的访问及问卷资料， 五个时间点：被看护者出院前一两天 从医院，以及大约1，5，9和18个月后， 放电研究的因变量包括以下概念： 照顾者角色紧张，照顾者的奖励，以及为照顾者做准备 - 不好意思我们开发并预先测试了这些措施，并为其他 我们感兴趣的概念，在我们以前的研究，包括 照顾者救济研究。我们将使用多变量方差分析， 协方差比较对照组和实验组的测量结果 的因变量。