NURSING INTERVENTION--RURAL DWELLERS AND CHRONIC ILLNESS

护理干预——农村居民与慢性病

• 批准号: 2842974
• 负责人: CLARANN L WEINERT
• 金额: $ 10万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-07-15 至 2001-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2842974
• 关键词: arthritis; attitude; behavioral /social science research tag; chronic disease /disorder; clinical research; community health services; data collection methodology /evaluation; diabetes mellitus; health care model; human subject; longitudinal human study; multiple sclerosis; neoplasm /cancer; nursing intervention; outcomes research; patient care management; psychological adaptation; psychosocial service; quality of life; questionnaires; rural area; social psychology; social support network; telecommunications; telemedicine; women's health

DESCRIPTION (Adapted from the Investigator's Abstract): Living with chronic illness requires "work" or the expenditure of energy to maintain health and emotional stability. Thus, needs for social support, information, and reassurance are intensified. As health care shifts to a community-based approach in which care is provided in places convenient to those being served and the focus is on prevention, creative mechanisms to deliver care are needed. Social support has been demonstrated to have a positive influence on dealing with illness. Support from others who have experienced the same health problem is of particular benefit. An effective and efficient means of providing support is through self-help groups, as has been demonstrated by Alcoholics Anonymous, etc. Yet, in rural areas, distance, travel time, small population base, and weather conditions often prohibit establishing and maintaining support and exchange among those managing chronic illness. The goal of the project is to use telecommunication technology to provide an innovative nursing intervention to provide information and mutual support to middle-aged isolated rural women living with chronic illness and to evaluate the impact of participation in these support groups on the women's psychosocial health. The telecommunication intervention is implemented with personal computers and the "FirstClass" conferencing system: "Conversation", "HealthChat", "Mailbox", and "Resource Rack". Over the course of the project 120 rural women will be randomized into either the intervention or control group (four cohorts of 15 intervention and 15 control). Each cohort will participate for 10 months. The intervention group will use the telecommunication intervention for 5 months and the control group will continue to use their usual mode of support and communication. At baseline, 2 1/2, 5, 7 1/2, and 10 months both groups participate in telephone interviews and will complete questionnaires to measure psychosocial outcomes. The change in psychosocial outcomes between baseline and five months is hypothesized to be more positive for the women in the intervention group than for the women in the control group. To assess the intervention group participants' attitudes toward the telecommunication intervention, a questionnaire will be administered during the sixth month.

描述（改编自研究者的摘要）：与 慢性病需要“工作”或消耗能量来维持 身体健康，情绪稳定。因此，需要社会支持， 信息、安抚力度不断加强。 随着医疗保健转向 以社区为基础的方法，在各地提供护理 方便受服务者，重点是预防， 需要创造性的机制来提供护理。社会支持已 已被证明对应对疾病具有积极影响。 来自经历过相同健康问题的其他人的支持是重要的 特别的好处。提供有效且高效的手段 通过自助小组提供支持，这一点已被证明 然而，在农村地区，距离、旅行时间、 人口基数小，而且天气条件往往不允许 建立并维持管理人员之间的支持和交流 慢性病。该项目的目标是利用电信 技术提供创新的护理干预 为偏僻农村中年妇女提供信息和互助 患有慢性疾病并评估参与的影响 在这些关于妇女社会心理健康的支持小组中。这 电信干预是通过个人计算机实施的 以及“FirstClass”会议系统：“Conversation”、“HealthChat”、 “邮箱”和“资源架”。项目实施期间，120 个农村 女性将被随机分为干预组或对照组 （四个队列，每组 15 名干预组和 15 名对照组）。每个队列将 参加10个月。干预组将使用 通讯干预5个月，对照组 继续使用他们通常的支持和沟通方式。在 基线、2 1/2、5、7 1/2 和 10 个月两组均参与 电话采访并填写调查问卷来衡量 心理社会结果。之间心理社会结果的变化 假设基线和五个月对 干预组中的女性高于对照组中的女性。 评估干预组参与者对干预措施的态度 电信干预，将进行问卷调查 在第六个月期间。

项目成果

Chronically ill rural women: self-identified management problems and solutions.

农村妇女慢性病：自我发现的管理问题及解决方案。

• DOI: 10.1177/17423953050010010301
• 发表时间: 2005
• 期刊: Chronic illness
• 影响因子: 1.3
• 作者: Cudney,Shirley;Sullivan,Therese;Winters,CharleneA;Paul,Lynn;Oriet,Pat
• 通讯作者: Oriet,Pat

The rural context and women's self-management of chronic health conditions.

农村背景和妇女对慢性健康状况的自我管理。

• DOI: 10.1177/17423953060020040801
• 发表时间: 2006
• 期刊: Chronic illness
• 影响因子: 1.3
• 作者: Winters,CharleneA;Cudney,ShirleyA;Sullivan,Therese;Thuesen,Alta
• 通讯作者: Thuesen,Alta

An exploration of spirituality in rural women with chronic illness.

患有慢性病的农村妇女的灵性探索。

• DOI: 10.1097/00004650-200601000-00007
• 发表时间: 2006
• 期刊: Holistic nursing practice.
• 作者: Hampton,JenanetaS;Weinert,Clarann
• 通讯作者: Weinert,Clarann

Evolution of a conceptual model for adaptation to chronic illness.

适应慢性病概念模型的演变。

• DOI: 10.1111/j.1547-5069.2008.00241.x
• 发表时间: 2008
• 期刊: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
• 作者: Weinert,Clarann;Cudney,Shirley;Spring,Amber
• 通讯作者: Spring,Amber

Effect of a computer-based intervention on social support for chronically ill rural women.

基于计算机的干预措施对慢性病农村妇女社会支持的影响。

• DOI: 10.1002/j.2048-7940.2004.tb00340.x
• 发表时间: 2004
• 期刊: Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
• 作者: Hill,Wade;Schillo,Leah;Weinert,Clarann
• 通讯作者: Weinert,Clarann