Wu Ya-Huei, Faucounau Véronique, de Rotrou Jocelyne, Riguet Mathilde, Rigaud Anne-Sophie
Service de Gérontologie 2, Hôpital Broca, Paris.
Psychol Neuropsychiatr Vieil. 2009 Sep;7(3):185-92. doi: 10.1684/pnv.2009.0175.
Caregivers of patients with Alzheimer's disease or related disorders are exposed to many stress factors which increase the risk of developing physical and psychological disturbances. To limit these negative effects, different psychosocial interventions for carers have been proposed. With progress in technologies, telephone or the internet can offer flexible and tailored means to deliver this kind of interventions. In this literature review, we listed and analysed the articles devoted to this topic. Sixteen papers concerning nine intervention programs were selected. The analysis shows that the internet, as a means to deliver an intervention programme, is more interactive, attractive and less intrusive than telephone. Efficacy of the interventions via this kind of technologies can be compared to that observed in face to face ones: despite weak methodology and inconsistent outcomes of the studies, they showed some improvement in burden, anxiety, depression and self-efficacy. Finally, before implementation of this kind of technologies, it is necessary to test learnability, adaptability and acceptability. Usability of a technology is a key factor for its adoption and efficacy.
阿尔茨海默病或相关疾病患者的护理人员面临许多压力因素,这些因素会增加出现身体和心理障碍的风险。为了限制这些负面影响,已提出针对护理人员的不同心理社会干预措施。随着技术的进步,电话或互联网可以提供灵活且量身定制的方式来实施此类干预。在这篇文献综述中,我们列出并分析了致力于该主题的文章。选取了16篇关于9个干预项目的论文。分析表明,作为实施干预项目的一种手段,互联网比电话更具互动性、吸引力且干扰性更小。通过这类技术进行干预的效果可与面对面干预的效果相媲美:尽管研究方法薄弱且结果不一致,但它们在负担、焦虑、抑郁和自我效能方面显示出一些改善。最后,在实施这类技术之前,有必要测试其易学性、适应性和可接受性。技术的可用性是其被采用和发挥功效的关键因素。