[对痴呆症临终关怀信息小册子的评价:一项评估家庭照顾者和医疗保健专业人员偏好的混合方法研究]。

Laura Bavelaar, Mandy Visser, Eva J Dijkstra, Jenny T van der Steen, Eefje M Sizoo
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引用次数: 0

摘要

2005年,加拿大编写了一本小册子,向痴呆症患者的家庭护理人员介绍临终护理。经过评估和修订,2011年出版了荷兰语版本。研究和社会的发展需要第二次修订。这项研究的目的是绘制出用户(家庭护理人员和医疗保健专业人员)对小册子的外观和感觉以及内容的偏好。为此,除了目前的纸质小册子外,我们还创建了一个原型网站和应用程序,以及三个插图选项。21名家庭照顾者和19名医疗保健专业人员完成了一份关于他们偏好的问卷。开放式问题采用内容分析,选择题采用描述性分析。参与者很重视问答形式。他们认为案文过于以医学为导向,并表示需要更包容的语言和更广泛的信息。参与者发现人物的图像适合小册子,他们更喜欢插图不太关注医学背景。与会者更喜欢纸质小册子和网站。通过了解家庭照顾者和医疗保健专业人员的偏好,在第二次修订中,小册子可以为用户量身定制。预计这种剪裁将有助于告知家庭护理人员有关临终关怀。
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[Evaluation of an information booklet on end-of-life care in dementia: a mixed-methods study assessing the preferences of family caregivers and healthcare professionals].

A booklet was developed in Canada in 2005 to inform family caregivers of people with dementia about end-of-life care. A Dutch version was published in 2011 after evaluation and revision. Developments in research and society call for a second revision. The aim of this study was to map out users' (family caregivers and healthcare professionals) preferences regarding the look and feel, and content of the booklet. To this end, in addition to the current paper booklet, we created a prototype website and app, along with three illustration options. Twenty-one family caregivers and nineteen healthcare professionals completed a questionnaire about their preferences. Open ended questions were analyzed using content analysis, multiple-choice questions using descriptive analysis. The participants valued the question-answer format. They perceived the text as too medically oriented and they expressed a need for more inclusive language and broader information. The participants found images of people suitable for the booklet and they preferred the illustrations to be less focused on the medical context. The participants preferred the paper booklet and a website. By understanding family caregivers' and healthcare professionals' preferences, in the second revision, the booklet can be tailored to the user. It is expected that this tailoring will support informing family caregivers about end-of-life care.

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