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首页> 外文期刊>Nursing research >Outcomes of family involvement in care intervention for caregivers of individuals with dementia.
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Outcomes of family involvement in care intervention for caregivers of individuals with dementia.

机译：家庭参与痴呆症患者看护者护理干预的结果。

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BACKGROUND: Despite the increasing number of individuals with dementia relocated from caregiving at home to a nursing home, there is only a small body of literature examining the influence of institutional family-oriented practices on family member perceptions of care and family-staff relationships. OBJECTIVE: The study tested the effects of the Family Involvement in Care partnership intervention on family members' perceptions of their caregiving role, relationships with staff, and satisfaction with the care of relatives with dementia residing in special care units as well as the effects on staff attitudes toward families and staff satisfaction with a caregiving role. METHODS: A quasi-experimental design with nonequivalent groups and repeated pretest and posttest measures was used to examine the effects of the Family Involvement in Care intervention. The study recruited 14 Midwestern nursing home special dementia care units, matched by aegis and staff turnover, and randomized from matched pairs to experimental and control conditions. The samples included 185 family members and 895 staff. The Family Involvement in Care intervention is a protocol for family and staff negotiation of a written partnership agreement. Family caregiver outcomes were measured using instruments pretested for reliability and validity. Data were analyzed using hierarchical linear modeling. RESULTS: With adjustment for multiple tests, statistically significant beneficial intervention effects were found in three areas of family caregiver outcomes (emotional reactions to the caregiving role, perceptions of relationships with staff, and perceptions of care for relatives) and in one of three areas of staff outcomes (staff perceptions of the family caregiving role). For family members, effects were found for the measures assessing loss, captivity, staff disregard, resident activities, and physical care. Some of the intervention effects for family members were found only for caregivers of the same generation as the resident. For staff, effects were found for measures of dominion, disruption by family, and irrelevance of family. CONCLUSIONS: The results of the study indicate that the Family Involvement in Care intervention improves the caregiving experience of family members in nursing homes as well as nursing home staff attitudes toward family members. The intervention did not influence the perceived conflict with staff on the part of family caregivers or the perception of a partnership with family caregivers on the part of staff.
机译：背景：尽管越来越多的痴呆症患者从在家照料转移到疗养院，但只有少数文献研究了以家庭为单位的家庭护理对家庭成员对照料和亲戚关系的看法的影响。目的：该研究测试了家庭参与护理合作伙伴关系干预对家庭成员对其护理角色的看法，与职员的关系以及对居住在特殊护理单位中的痴呆症亲属的满意度以及对职员的影响的影响对家庭的态度和员工对保姆的满意度。方法：采用非等效组的准实验设计，并重复进行前测和后测方法，以检验家庭参与护理干预的效果。该研究招募了14个中西部的疗养院特殊痴呆护理单位，根据他们的神盾和人员流动进行匹配，并从配对中随机分配到实验和对照条件。样本包括185名家庭成员和895名员工。家庭参与照料干预是家庭和员工就书面合伙协议进行谈判的协议。家庭看护者的结局使用经过预先测试的信度和效度进行了测量。使用分层线性建模分析数据。结果：经过多项测试的调整，在家庭照顾者结果的三个领域（对照顾者的情感反应，与员工的关系的感知以及对亲戚的感知）中发现了统计学上显着的有益干预效果。员工成果（员工对家庭照顾角色的看法）。对于家庭成员，发现了评估损失，囚禁，无视员工，居民活动和身体保健的措施的效果。对家庭成员的某些干预效果仅适用于与居民同龄的看护人。对于员工而言，发现了对统治，家庭破裂和家庭无关性的影响。结论：研究结果表明，家庭参与护理干预可以改善家庭成员在养老院的护理经验，以及养老院工作人员对家庭成员的态度。干预措施并未影响家庭看护人员与员工之间的冲突感，也没有影响到员工与家庭看护人员建立伙伴关系的感觉。

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