EFFECTS OF CASE MANAGEMENT ON AIDS INFORMAL CAREGIVERS

病例管理对艾滋病非正式护理人员的影响

• 批准号: 3427567
• 负责人: Nancy R Reynolds
• 金额: $ 2.16万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-01 至 1992-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3427567
• 关键词: AIDS; HIV infections; angers; anxiety; body physical activity; caregivers; data collection; depression; emotions; fatigue; health; health care model; health care service evaluation; home health care; interview; longitudinal human study; mental health; model design /development; patient care management; psychic activity level; satisfaction; self care

Case management has been proposed as a strategy for promoting comprehensive, cost effective, home care to persons with HIV-related illnesses. Although informal caregivers play a vital role in providing or supplementing home care to persons with HIV infection and may themselves be at risk for altered physical and emotional health outcomes, little research is available regarding how they are effected by case management strategies. This project proposes an extension to a 1989-92 NIH NCNR-funded study (R01 NR02281) that examines the effects of case managed home care for persons with HIV infection, but has no assessment of the effects of case management on the informal caregivers. This project parallels the large study and is designed as a randomized control trial comparing the informal caregivers of HIV infected persons receiving case managed home care with the informal caregivers receiving non case managed, routine home care. Informal caregiver subjects will be admitted to this study upon consent following patient entry into the larger study. Over 382 subjects are projected as eligible for participation during the one year period of data collection. The median duration of participation per client is expected to be approximately 3 months. Evaluation will be based upon measures of physical and emotional health, satisfaction with formal services, and a descriptive account of the informal caregiver role over the course of home care. The physical/emotional health and satisfaction outcome variables will be measured at monthly intervals and associations assessed through repeated cross-sectional multiple regression for the varying subject groups at varying times. Impact of the case management intervention and other significant variables (e.g., patient disease severity) on the outcomes will be assessed, as well as interrelatedness of the outcome measures. Data concerning the informal caregiver role will also be collected at monthly intervals. Codes will be derived from respondent's answers to open-ended questions and frequencies will be assessed. Questions that generate answers that are too idiosyncratic or abstract for coding will be thematically analyzed and reported in a more anecdotal fashion. Results of the study will provide health care planners/policymakers with specific data on the advantages and disadvantages of case management for informal HIV/AIDS caregivers and descriptive data on the role and extent of the informal caregiver resource relative to case managed and routine home care.

已提出案件管理作为促进的策略 综合，具有成本效益的家庭护理与艾滋病毒有关的人 疾病。 尽管非正式护理人员在提供或 为感染艾滋病毒感染的人补充家庭护理，并可能是 有改变身体和情感健康结果的风险，很少研究 有关案件管理策略如何影响它们的方式。 该项目提议扩展到1989 - 92年NIH NCNR资助的研究（R01） NR02281）检查了对人员的案例管理家庭护理的影响 艾滋病毒感染，但没有评估病例管理的影响 关于非正式护理人员。 该项目与大型研究相似，是 设计为比较非正式护理人员的随机控制试验 受艾滋病毒感染的人接受非正式的案例管理家庭护理 接受非案例管理的常规家庭护理的护理人员。 非正式 护理人员将在同意后接受这项研究 患者进入更大的研究。 超过382个受试者被预测为 有资格参加一年的数据收集期。 每个客户的参与时间中位数预计将是 大约3个月。 评估将基于身体的措施 和情感健康，对正式服务的满意以及描述性 在家庭护理过程中的非正式护理人员角色的帐户。 这 身体/情感健康和满意度变量将是 以每月的间隔和通过重复评估的关联进行测量 不同受试者组的横截面多重回归 不同的时间。 案件管理干预和其他的影响 有关结果的重大变量（例如，患者疾病的严重程度）将 可以评估结果度量的相互关系。 数据 关于非正式护理人员角色也将在每月收集 间隔。 代码将来自受访者对开放式的答案 问题和频率将被评估。 产生的问题 对于编码太特质或抽象的答案将是 主题分析和报道以更有趣的方式进行。 结果 该研究将为医疗保健计划者/政策制定者提供具体数据 关于非正式的案件管理的优势和缺点 艾滋病毒/艾滋病护理人员和描述性数据有关 非正式护理人员资源相对于案例管理和常规家庭护理。