Department of Applied Social Science, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
Patient Educ Couns. 2010 Feb;78(2):256-60. doi: 10.1016/j.pec.2009.06.005. Epub 2009 Jul 19.
This pilot study evaluated the effectiveness of Coping with Caregiving (CWC) psychoeducational program for Chinese family caregivers of patients with Alzheimer's disease in Hong Kong.
Twenty-seven female primary caregivers were randomized to join the treatment group or wait-list control group. The caregivers in the treatment group participated in 13 weekly training sessions which taught specific cognitive-behavioral strategies to handle caregiving stress.
As compared to the wait-list control group, caregivers completing the CWC program demonstrated a significant increase in their self-efficacy for controlling their upsetting thoughts and handling disruptive behaviors of the care recipients. They also reported a significant increase in the use of both problem-focused and emotion-focused coping strategies.
These findings suggested that cognitive-behavioral programs can be effective in improving the resourcefulness of Chinese caregivers of persons with dementia in Hong Kong.
Future CWC programs will have to enhance participants' ability to differentiate among various coping skills and to use situation-appropriate strategies.
本试点研究评估了针对香港阿尔茨海默病患者的家庭照顾者的应对照顾(CWC)心理教育计划的有效性。
27 名女性主要照顾者被随机分配到治疗组或候补名单对照组。治疗组的照顾者参加了 13 周的每周培训课程,教授了特定的认知行为策略来应对照顾压力。
与候补名单对照组相比,完成 CWC 计划的照顾者在控制自己心烦意乱的想法和处理照顾对象的破坏性行为方面的自我效能感显著提高。他们还报告说,更多地使用了问题焦点和情绪焦点的应对策略。
这些发现表明,认知行为计划可以有效地提高香港痴呆症患者的中国照顾者的应对能力。
未来的 CWC 计划将不得不增强参与者区分各种应对技能的能力,并使用适合情况的策略。