Application of the hospital-family holistic care model in caregivers of patients with permanent enterostomy: A randomized controlled trial.
care ability
caregivers
hospital-family care
nursing
permanent enterostomy
psychological distress
quality of life
timing it right
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
07
09
2020
received:
09
05
2020
accepted:
05
10
2020
pubmed:
2
2
2021
medline:
22
6
2021
entrez:
1
2
2021
Statut:
ppublish
Résumé
To evaluate the effectiveness of the hospital-family holistic care model based on the theory of 'Timing It Right' in caregivers of patients with permanent enterostomy. A prospective randomized controlled trial. One hundred and twenty-five caregivers of patients with permanent enterostomy were recruited from 1 May 2017-31 August 2019. They were randomized into either intervention group (N = 62) or control group (N = 63). The control group received routine care and follow-up, while the intervention group received routine care, follow-up, and hospital-family holistic care intervention based on 'Timing It Right'. The care ability, psychological distress, and life quality of the caregivers were evaluated between the groups before the intervention, at discharge, and 3 and 6 months after discharge. One hundred and eleven caregivers completed the study (88.8%). At 3 and 6 months after discharge, the care ability and life quality in the intervention group were significantly better than those in the control group (t = 8.506/9.783, t = 22.652/26.179, p < 0.05) based on the t tests, and the psychological distress was lower than that in the control group. The ostomy adaptability of the control group was significantly lower than that in the intervention group (p < 0.001) based on the t tests, and the χ The hospital-family holistic care model based on 'Timing It Right' can effectively improve the care ability of caregivers of patients with permanent enterostomy, reduce psychological distress, and improve the quality of life. The caregivers of patients with permanent enterostomy showed dynamic changes in their care experience and needs at different stages of the disease. The hospital-family holistic care intervention strategy based on 'Timing It Right' can effectively improve the caregiver's care ability, alleviate psychological distress, and improve the quality of life. Additionally, improving the patients' stoma adaptability and reducing the incidence of complications related to ostomy. 目的: 评价基于“适时”理论的医院--家庭整体护理模式对肠造口患者护理人员的有效性。 设计: 一项前瞻性随机对照试验。 方法: 2017年5月1日至2019年8月31日期限, 共计招募125名永久性肠造口患者护理人员。此类护理人员被随机分为干预组 (N=62) 和对照组 (N=63) 。对照组接受常规护理和随访, 而干预组将接受常规护理、随访和基于“适时”理论的医院--家庭整体护理干预。应分别在干预前、出院时、出院后3个月和出院后6个月对两组护理人员的护理能力、心理压力和生活质量进行评估。 结果: 共计111名护理人员完成本项研究 (88.8%) , 分别在出院后3个月和6个月进行t试验, 试验结果表明, 干预组的护理能力和生活质量明显优于对照组 (t=8.506/9.783,t=22.652/26.179,p<0.05) , 且心理压力明显低于对照组。t试验结果表明, 对照组的造口适应性明显低于干预组 (p<0.001) , 而χ
Autres résumés
Type: Publisher
(chi)
目的: 评价基于“适时”理论的医院--家庭整体护理模式对肠造口患者护理人员的有效性。 设计: 一项前瞻性随机对照试验。 方法: 2017年5月1日至2019年8月31日期限, 共计招募125名永久性肠造口患者护理人员。此类护理人员被随机分为干预组 (N=62) 和对照组 (N=63) 。对照组接受常规护理和随访, 而干预组将接受常规护理、随访和基于“适时”理论的医院--家庭整体护理干预。应分别在干预前、出院时、出院后3个月和出院后6个月对两组护理人员的护理能力、心理压力和生活质量进行评估。 结果: 共计111名护理人员完成本项研究 (88.8%) , 分别在出院后3个月和6个月进行t试验, 试验结果表明, 干预组的护理能力和生活质量明显优于对照组 (t=8.506/9.783,t=22.652/26.179,p<0.05) , 且心理压力明显低于对照组。t试验结果表明, 对照组的造口适应性明显低于干预组 (p<0.001) , 而χ
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2033-2049Subventions
Organisme : This project was supported by the the Dreyfus Health Founding(US)230712 (606077)、Fujian Provincial Health Technology Project and National Key Clinical Specialty Discipline Construction Program of China (no.[2010]313).
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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