同伴指导对预防依赖的有效性:农村地区的试点研究。

IF 3.2 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2024-10-20 DOI:10.1111/jocn.17521
Laura Mateos-González, Sara Menéndez-Espina, José Antonio Llosa, Beatriz Oliveros, Esteban Agulló-Tomás, Estíbaliz Jiménez-Arberas
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引用次数: 0

摘要

目的:分析通过同伴指导进行积极老龄化干预的有效性:设计:通过三组进行准实验研究,一组为对照组(由专业人士举办积极老龄化教育讲习班),两组为实验组(由同龄人举办数字或面对面讲习班):方法:所有小组的学习时间(7 周)和内容相同,只是改变了接触的途径。该模式的有效性通过身体健康、心理健康和社会支持等变量来衡量。此外,还对孤独感和护理需求进行了控制:总样本包括 n = 209 名生活在农村地区的 60 岁以上老人,其中 n = 12 人组成志愿者/辅导员小组。积极老龄化干预措施显示,需要某种形式照顾的人对身心健康的感知有所改善,所有三种方式都同样有效。通过控制孤独感和社会参与变量,分析了对社会支持的影响;在这些情况下,面对面的同伴实验组比其他实验组更有效:结论:在保持和改善健康感知方面,同伴指导方法与传统的由一名医生进行指导的方法同样有效,而与同伴面对面的方法在促进孤独人群的社会支持方面更为有用:对专业和/或病人护理的影响:同伴指导是改善老年人社会支持和消除孤独感的良好策略:影响:通过促进积极老龄化来预防依赖性。同伴指导被证实对社会支持有重大影响,可作为一种社会教育工具,适用于经历孤独的老年人:本研究遵循了 JBI 准则。报告方法:本研究遵守了 JBI 准则,使用了 JBI 准实验研究批判性评估清单:志愿者导师参与了研讨会的设计和实施。
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Effectiveness of Peer Mentoring for the Prevention of Dependency: A Pilot Study in a Rural Setting.

Aim: To analyse the effectiveness of an active ageing intervention modality through peer mentoring.

Design: A quasi-experimental research study is carried out through three groups, one control (educational workshops on active ageing given by professionals) and two experimental (workshops given by peers with digital or face-to-face exposure).

Methods: All groups share duration (7 weeks) and content, modifying the route of exposure. The effectiveness of the model is measured through the variables of physical health, mental health and social support. Loneliness and the need for care are also controlled for.

Results: The total sample consists of n = 209 people aged over 60 living in a rural context, of which n = 12 form the volunteer/mentor group. Active ageing interventions show an improvement in the perception of physical and mental health among people in need of some form of care, with all three modalities being equally effective. The impact on social support is analysed by controlling for the loneliness and social participation variable; in these cases, the face-to-face experimental group of peers is more effective than the others.

Conclusions: The peer-to-peer methodology is as effective as the traditional methodology with a practitioner in maintaining and improving health perception, and the face-to-face methodology with peers is more useful in fostering social support among people experiencing loneliness.

Implications for the profession and/or patient care: Peer mentoring is presented as a good strategy to improve social support for older people and to combat loneliness.

Impact: To address the prevention of dependency through the promotion of active ageing. Peer mentoring is confirmed to have a significant impact on social support and could be a socio-educational tool applicable to older people experiencing loneliness.

Reporting method: This study has adhered to JBI guidelines. JBI critical appraisal checklist for quasi-experimental studies has been used.

Patient or public contribution: Volunteer mentors contributed to the design and delivery of the workshops.

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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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