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痴呆老年人照顾者的主观负担感:如何进行干预?

The subjective feeling of burden in caregivers of elderly with dementia: how to intervene?

机构信息

Elderly Cognitive Disorders Service, AUSL of Piacenza, Piacenza, Italy.

出版信息

Arch Gerontol Geriatr. 2009;49 Suppl 1:153-61. doi: 10.1016/j.archger.2009.09.025.

Abstract

The aim of this study was to know how caregiver burden was influenced by caregivers' and patients' characteristics and by social support; the intention was to use these elements in order to suggest how to optimize the interventions which may reduce caregivers' subjective feeling of burden. A sample of 99 caregivers was studied using a descriptive-correlational design. Caregiver burden was assessed by using the caregiver burden inventory (CBI). The burden was due to restrictions on their personal time and to the sense of failure regarding their hopes and expectations. These results suggest that it could be useful to intervene in two ways. On one hand, improving all those interventions targeted to reduce restrictions on the personal caregivers' time, making respite care and day care units more accessible to elderly with dementia. On the other hand, giving caregivers the opportunity to benefit from interventions oriented to cope the sense of failure and the physical stress, to say, individual counseling or continued informal support.

摘要

本研究旨在了解照顾者负担受照顾者和患者特征以及社会支持的影响;目的是利用这些因素,建议如何优化干预措施,以减轻照顾者的主观负担感。采用描述性相关性设计,研究了 99 名照顾者。使用照顾者负担量表(CBI)评估照顾者负担。负担是由于对个人时间的限制以及对希望和期望的失败感造成的。这些结果表明,可以通过两种方式进行干预。一方面,通过改善所有旨在减少对个人照顾者时间限制的干预措施,使痴呆症老年人更容易获得暂托护理和日托服务。另一方面,为照顾者提供机会,从旨在应对失败感和身体压力的干预措施中受益,例如个人咨询或持续的非正式支持。

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