有重病亲属的家庭的健康促进对话
有重病亲属的家庭的健康促进对话干预:随机对照试验试点
目的:我们调查了护士主导的家庭干预“健康促进对话”的结果,该干预侧重于有危重成员的家庭的家庭功能和幸福感。
研究设计:这项随机对照试验研究使用了干预组和对照组的前测、后测设计,以调查护士主导的干预在 17 个家庭中的结果。
结果测量:健康促进对话干预使用经过验证的衡量家庭功能和家庭福祉的工具进行评估:麦克马斯特家庭评估设备的一般功能子量表;家庭一致性感、Herth Hope 指数和医疗结果短期健康调查。 使用描述性和分析性统计方法来分析数据。
研究概览
详细说明
这项随机对照试验 (RCT) 使用了带有干预组和对照组的前测、后测设计。
干预组在出院后与每个家庭进行了 3 次健康促进对话。 促进健康的对话在大约 4 到 8 周的时间内进行,对话之间的间隔为 2 周。 最后一次谈话后 2 到 3 周发送了一封结束信,总结了所有谈话并提供了进一步反思的机会。
收集基线数据以评估干预组和对照组在危重病后 1-2 个月和干预开始前的家庭功能和幸福感。 在干预后 3 个月和 12 个月对两组进行了后续评估。 此外,还使用询问年龄的自填问卷收集了包括健康史在内的背景数据;性别;教育程度;吸烟、饮酒和体育锻炼等习惯;社会心理支持;合并症;和死亡风险。 后者是使用 Charlson 合并症指数 (Charlson et al., 1987) 计算的。
本研究的主要结果变量是家庭功能和家庭幸福感。 本研究中使用了以下仪器:1) McMaster 家庭评估设备 (FAD) 的一般功能 (GF) 子量表; 2)家庭连贯感(F-SOC/F-KASAM); 3)赫斯希望指数(HHI); 4) 医疗结果简表健康调查 (SF-36)。
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Linköping、瑞典、S-58183
- Linköping University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
纳入标准:
- 患者年龄 >18 岁
- 患者在 ICU 治疗至少 96 小时
- 至少一名家庭成员(年龄 >15 岁)有兴趣参加
排除标准:
- 失智
- 或其他严重的精神疾病
- 吸毒
- 难以理解或阅读瑞典语
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器:控制臂
日常护理
|
日常护理
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实验性的:促进健康的对话
干预组在出院后与每个家庭进行了 3 次健康促进对话。
促进健康的对话在大约 4 到 8 周的时间内进行,对话之间的间隔为 2 周。
最后一次谈话后 2 到 3 周发送了一封结束信,总结了所有谈话并提供了进一步反思的机会。
|
促进健康的对话
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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家庭功能
大体时间:长达 12 个月
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e GF 是一个包含 12 个项目的量表,旨在衡量自我报告的感知整体 15 家庭功能(Wright 和 Leahey,2009 年,2013 年)。
每个项目都采用 16 级李克特四点评分:“非常同意”= 1,“同意”= 2,“不同意”= 3,“非常不同意”= 4。
17 个量表的分数范围从 12 到 48,分数越低表明家庭功能越好。
18 GF 被翻译成瑞典语并在瑞典样本中进行了试点测试,量表 19 显示出令人满意的可靠性和可接受的 0.90 有效性(Bylund 等人,2015 年)。
本研究的 20 信度系数 alpha 为 0.45。
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长达 12 个月
|
合作者和调查者
调查人员
- 首席研究员:Susanna Ågren, PhD、Linkoeping University
出版物和有用的链接
一般刊物
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研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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