Effects of the discharge plan on the caregiving load of people with chronic disease: Quasi-experimental study.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-08-03 DOI:10.1177/17423953231192131

Gloria Carvajal Carrascal, Alejandra Fuentes Ramírez, Sandra Patricia Pulido Barragán, Maryory Guevara Lozano, Beatriz Sánchez-Herrera

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Abstract

Objective: To determine the effect of an anticipated care plan, structured around hospital discharge (PC-AH-US), regarding the caregiving load of people with NTCD residing in Colombia, 2019-2021.

Method: This is a quasi-experimental study with pre- and post-intervention measurements. It includes 1170 participants who represented 585 chronic disease patient-caregiver pairs. We compared the PC-AH-US intervention, to the regular intervention.

Results: The PC-AH-US intervention group showed better results in all dimensions when compared to the regular intervention group: Awareness 8.7 (SD: 0.7) and 6.8 (SD: 1.7); Acknowledgement of their unique conditions 11.3 (SD: 1.0) and 9.4 (SD: 1.8); Capacity to fulfill care tasks 8.8 (SD: 0.7) and 7.5 (SD: 1.5); Wellbeing 11.4 (SD: 0.90) and 8.87 (SD: 2.3); Anticipation 5.88 (SD: 0.4) and 4.7 (SD: 1.1) and Support Network 11.4 (SD: 0.8) and 9.9 (SD: 2.5).

Conclusion: The PC-AH-US intervention group showed a statistically significant decrease in the caregiving load for people with NTCD (p < 00). There were no significant institutional differences in readmissions or deaths. The PC-AH-US intervention backs institutional policies meant to care for people with NTCD.

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出院计划对慢性病患者护理负荷的影响:准实验研究。

目的:确定围绕出院(PC-AH-US)构建的预期护理计划对2019-2021年居住在哥伦比亚的非传染性疾病患者护理负荷的影响。方法:这是一项准实验研究，包括干预前和干预后的测量。它包括1170名参与者，他们代表了585对慢性病患者-护理者。我们比较了PC-AH-US干预和常规干预。结果:PC-AH-US干预组各维度均优于常规干预组:意识8.7 (SD: 0.7)、6.8 (SD: 1.7);确认其独特条件11.3 (SD: 1.0)及9.4 (SD: 1.8);完成护理任务的能力为8.8 (SD: 0.7)和7.5 (SD: 1.5);幸福感11.4 (SD: 0.90)和8.87 (SD: 2.3);预期5.88 (SD: 0.4)和4.7 (SD: 1.1)，支持网络11.4 (SD: 0.8)和9.9 (SD: 2.5)。结论:PC-AH-US干预组对非传染性疾病患者的护理负担有显著的降低(p

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.