HHC即Home Health Care,可译为"家庭健康照护服务"。这类服务国外已开展多年,最早有迹可寻的记录始于1796年,此后它的内涵不断得到发展和深化。时至今日,作者认为HHC概念广义到可泛指在家庭范围内进行的一切医疗、护理、预防...HHC即Home Health Care,可译为"家庭健康照护服务"。这类服务国外已开展多年,最早有迹可寻的记录始于1796年,此后它的内涵不断得到发展和深化。时至今日,作者认为HHC概念广义到可泛指在家庭范围内进行的一切医疗、护理、预防、保健、康复和照顾活动,也就是说HHC是"六位一体"(预防、治疗、照护、保健、康复、健康宣教)的综合服务。通过文献研究,综述国外HHC的产生、发展、现状和研究进展。展开更多
Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in...Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.展开更多
文摘HHC即Home Health Care,可译为"家庭健康照护服务"。这类服务国外已开展多年,最早有迹可寻的记录始于1796年,此后它的内涵不断得到发展和深化。时至今日,作者认为HHC概念广义到可泛指在家庭范围内进行的一切医疗、护理、预防、保健、康复和照顾活动,也就是说HHC是"六位一体"(预防、治疗、照护、保健、康复、健康宣教)的综合服务。通过文献研究,综述国外HHC的产生、发展、现状和研究进展。
文摘Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.
