通过对接受专门家庭护理的危及生命的疾病患者的家庭护理人员进行基于网络的干预,产生共鸣、自我反思和做好准备。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES Palliative & Supportive Care Pub Date : 2025-01-21 DOI:10.1017/S1478951524002086
Cecilia Bauman, Viktoria Wallin, Sandra Doveson, Peter Hudson, Ulrika Kreicbergs, Anette Alvariza
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引用次数: 0

摘要

目的:在重症患者的家庭护理中,家庭照顾者的贡献是至关重要的。本研究旨在探讨基于网络的心理教育干预如何影响家庭照顾者在照顾危及生命的疾病患者时应对挑战的经验。方法:本质性研究采用半结构式访谈,访谈对象为接受专科家庭照护的危重疾病患者的家庭照护者。家庭照顾者参加了一项随机对照试验,评估通过网站提供的心理教育干预。对17名家庭照顾者进行了访谈;配偶13人,成年子女2人,父母1人,兄弟姐妹1人,采用定性内容分析法进行分析。结果:干预与家庭照顾者的处境产生了共鸣,使家庭照顾者感到舒适和自觉。它激发了对护理者角色的自我反思,提供了新的见解,并鼓励了与患者的沟通。干预使家庭照顾者为病人的病情进展和死亡做好准备。虽然准备对一些人来说是一种帮助,但其他人并没有准备好面对这一点,这导致他们避开了网站的某些部分。结果的意义:这种基于网络的心理教育干预指导家庭照顾者应对照顾中的挑战并为未来做好准备,他们重视获得这样的干预。在医疗保健资源减少的时代,基于网络的支持可能是面对面干预的有用替代方案。重要的是继续开发、评估和实施基于网络的干预措施,以满足家庭照顾者的需求。
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Resonance, self-reflection, and preparedness through a web-based intervention for family caregivers of patients with life-threatening illness receiving specialised home care.

Objectives: In home-based care for severely ill patients, family caregivers' contributions are crucial. This study aimed to explore how a web-based psychoeducational intervention influences family caregivers' experiences in addressing challenges while caring for a patient with life-threatening illnesses during specialized home care.

Methods: This qualitative study undertook semi-structured interviews with family caregivers of patients with life-threatening illness receiving specialized home care. Family caregivers participated in a randomized controlled trial evaluating a psychoeducational intervention delivered through a website. Interviews were performed with 17 family caregivers; 13 spouses, 2 adult children, 1 parent, and 1 sibling, and analyzed using qualitative content analysis.

Results: The results indicate that the intervention resonated with the family caregivers' situation which gave them comfort and awareness. It inspired self-reflection on the caregiver role that provided new insights and encouraged communication with the patient. The intervention prepared family caregivers for the patient's progressing illness and death. While preparing was a help for some, others did not feel ready to face this, which led them to avoid parts of the website.

Significance of results: This psychoeducational web-based intervention guided family caregivers as they addressed challenges in caregiving and prepared for the future, and they valued having access to such an intervention. In a time of decreasing healthcare resources, web-based support may be a useful alternative to in-person interventions. It is important to continue developing, evaluating, and implementing web-based interventions to meet the needs of family caregivers.

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来源期刊
Palliative & Supportive Care
Palliative & Supportive Care HEALTH POLICY & SERVICES-
CiteScore
4.10
自引率
9.10%
发文量
280
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