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首页> 外文期刊>The International journal of social psychiatry >Effects of interferential care: A community-based care program for persons with severe problems on several life areas
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Effects of interferential care: A community-based care program for persons with severe problems on several life areas

机译：干预性护理的影响：针对多个生活领域中严重问题者的社区护理计划

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Background and aims: Interferential care differs from the current community-based care programs in that it targets a larger, heterogeneous group and combines brokerage and full service elements in a multi-organizational care team. The team provides all the services itself, but with the aim to prepare clients within a few months for referral to regular (ambulant) healthcare services. The aim of this study was to assess the effectiveness of interferential care. Methods: In a multisite, pretest-posttest design, 523 patients of three interferential care teams were followed. Quality of life, problem severity, problems with referral and engagement were assessed at baseline, at referral and again after 6 months. Analyses were performed using linear mixed modeling. Results: Interferential care showed moderate to strong effects on quality of life and problem severity. These effects persisted (quality of life) or further improved (problem severity) until follow-up 6 months after referral to regular services. There were also small effects on both engagement and problems with referral. Conclusion: Interferential care offers significant improvements in quality of life and problem severity in persons who have severe problems on several life areas and who are currently not reached by healthcare services. It is a promising community-based care program for healthcare systems in which regular care already contains many elements of homebased practice.
机译：背景和目的：干预性护理与当前基于社区的护理计划不同，因为它针对的是一个更大的异类群体，并在一个多组织的护理团队中结合了经纪人和全方位服务的要素。该团队本身提供所有服务，但目的是在几个月内为客户准备转诊常规（急诊）医疗服务的准备。这项研究的目的是评估干涉护理的有效性。方法：在多站点，前测后测设计中，对三个干预小组的523名患者进行了追踪。在基线时，转诊时以及六个月后再次评估生活质量，问题严重性，转诊和参与问题。使用线性混合建模进行分析。结果：干预性护理对生活质量和问题严重程度显示出中度至强烈影响。这些影响持续（生活质量）或进一步改善（问题严重性），直到转诊至常规服务后六个月为止。对参与度和转介问题也都产生了很小的影响。结论：干预性护理可显着改善生活质量和问题严重性的患者，这些患者在多个生命领域都存在严重问题，而目前医疗保健服务无法提供这些服务。这是一个很有前途的基于社区的医疗保健系统计划，其中的常规护理已经包含许多家庭实践的内容。

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