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.

案例管理已被提议作为促进 为艾滋病毒感染者提供全面、具有成本效益的家庭护理 疾病。 尽管非正式护理人员在提供或 为艾滋病毒感染者提供家庭护理的补充，他们自己也可能是 面临身体和情绪健康结果改变的风险，很少有研究 有关案例管理策略如何影响它们的信息。 该项目提议扩展 1989-92 年 NIH NCNR 资助的研究 (R01 NR02281），检查案例管理的家庭护理对人员的影响 患有艾滋病毒感染，但没有评估病例管理的效果 关于非正式的照顾者。 该项目与大型研究并行， 设计为一项随机对照试验，比较非正式照顾者 接受病例管理的家庭护理的艾滋病毒感染者与非正式机构 接受非病例管理的常规家庭护理的护理人员。 非正式的 经同意后，护理人员受试者将被纳入本研究 患者进入更大的研究。 超过 382 个科目预计为 有资格在一年的数据收集期间参与。 每个客户的参与持续时间中位数预计为 大约3个月。 评估将基于身体测量 和情绪健康、对正式服务的满意度以及描述性 考虑家庭护理过程中非正式护理者的角色。 这 身体/情绪健康和满意度结果变量将是 每月测量一次，并通过重复评估关联性 不同主题组的横截面多元回归 不同的时间。 案件管理干预和其他措施的影响 结果的显着变量（例如患者疾病严重程度）将 进行评估，以及结果测量的相互关联性。 数据 关于非正式护理人员角色的信息也将按月收集 间隔。 代码将从受访者对开放式问题的回答中得出 将评估问题和频率。 产生的问题 对于编码而言过于特殊或抽象的答案将是 以更加轶事的方式进行主题分析和报道。 结果 该研究将为医疗保健规划者/政策制定者提供具体数据 非正式案件管理的优缺点 艾滋病毒/艾滋病护理人员以及有关其作用和程度的描述性数据 与病例管理和常规家庭护理相关的非正式护理人员资源。