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Caregiving effectiveness in families managing complex technology at home: replication of a model (see comments)

机译:在家中管理复杂技术的家庭的看护效果:模型的复制(请参阅评论)

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BACKGROUND: Original testing of the Caregiving Effectiveness Model, in a randomly drawn national sample (n = 111) of family caregivers, explained variance in the home care outcomes of patient physical condition, technology side effects, and quality of life. The variables in the resulting model reflected the challenges specific to family caregivers managing complex home care for the growing populations of technology-dependent patients. OBJECTIVE: To seek further empirical verification of the relationships among home care outcomes and the variables in the original trimmed model. METHOD: Data were collected from family caregivers (n = 31) and adult patients (n = 31) requiring lifelong daily total parenteral nutrition (TPN) infusion technology for nonmalignant bowel disease. Hierarchical regression was used with variables entered in the two stages that coincided with the model configuration of Caregiving and Adaptive concepts, with a criteria of alpha = .05 at a power of > .80. RESULTS: The model variables explained variance in all four outcomes. Specifically, Caregiving and Adaptive concept variables contributed to the explained variance in quality of life of both caregivers (R2 = .559, F = 4.65, p = .003) and patients (R2 = .464, F = 5.17, p = .04). Variance in patients' physical condition (R2 = .345, F = 6.37, p = .032) and the technological side effects outcomes (R2 = .357, F = 3.60, p = .018) were accounted for by variables in the model. CONCLUSIONS: In this sample, the Caregiving Effectiveness Model concepts accounted for significant variance in home care outcomes (quality in patients' and caregivers' lives, patients' physical condition, and technological side effect). Longitudinal study of this sample will determine if variables explain variance over time, as in the original model testing.
机译:背景:在随机抽取的全国家庭护理人员样本(n = 111)中,对护理有效性模型的原始测试解释了患者身体状况,技术副作用和生活质量的家庭护理结果的差异。结果模型中的变量反映了家庭护理人员为不断增长的依赖技术的患者群体管理复杂家庭护理所面临的特定挑战。目的:寻求对家庭护理结果与原始修剪模型中变量之间关系的进一步实证检验。方法:数据收集自需要终生每日全肠外营养(TPN)输注技术治疗非恶性肠病的家庭护理人员(n = 31)和成年患者(n = 31)。分层回归用于在两个阶段中输入的变量,这些变量与“护理”和“适应性”概念的模型配置一致,标准为α= .05,功效> .80。结果:模型变量解释了所有四个结果的差异。具体而言,护理和适应性概念变量导致了护理者(R2 = .559,F = 4.65,p = .003)和患者(R2 = .464,F = 5.17,p = .04)的生活质量差异。 )。模型中的变量说明了患者身体状况的差异(R2 = .345,F = 6.37,p = .032)和技术副作用(R2 = .357,F = 3.60,p = .018)。 。结论:在该样本中,护理有效性模型的概念说明了家庭护理结果(患者和护理者的生活质量,患者的身体状况以及技术副作用)方面的显着差异。与原始模型测试一样,此样本的纵向研究将确定变量是否解释了随时间的变化。

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