Mohide E A, Pringle D M, Streiner D L, Gilbert J R, Muir G, Tew M
McMaster University, Hamilton, Ontario, Canada.
J Am Geriatr Soc. 1990 Apr;38(4):446-54. doi: 10.1111/j.1532-5415.1990.tb03544.x.
A randomized trial of family caregiver support for the home management of older people suffering from moderate to severe progressive irreversible dementia was conducted in an urban center in southern Ontario. Thirty caregivers were allocated to receive the experimental intervention consisting of: caregiver-focused health care, education about dementia and caregiving, assistance with problem solving, regularly scheduled in-home respite, and a self-help family caregiver support group. Thirty control subjects received conventional community nursing care. Before completion of the intervention, 18 (30%) were withdrawn, almost equally from each group. The most frequent reason was long-term institutionalization of the demented relative (n = 10). At baseline, caregivers in both groups were suffering from above-average levels of depression and anxiety. After the six-month intervention period, we found neither experimental nor control group improved in these areas. However, the experimental group showed a clinically important improvement in quality of life, experienced a slightly longer mean time to long-term institutionalization, found the caregiver role less problematic, and had greater satisfaction with nursing care than the control group.
在安大略省南部的一个城市中心，开展了一项针对患有中度至重度进行性不可逆痴呆症老年人家庭管理的家庭照顾者支持随机试验。30名照顾者被分配接受实验性干预，包括：以照顾者为中心的医疗保健、痴呆症及护理教育、解决问题的协助、定期安排的居家喘息服务，以及一个自助式家庭照顾者支持小组。30名对照受试者接受常规社区护理。在干预完成前，18名（30%）退出，两组退出人数几乎相等。最常见的原因是痴呆亲属长期入住机构（n = 10）。基线时，两组照顾者的抑郁和焦虑水平均高于平均水平。在为期6个月的干预期后，我们发现实验组和对照组在这些方面均未改善。然而，实验组在生活质量方面有临床意义上的改善，长期入住机构的平均时间略长，认为照顾者角色问题较少，且对护理的满意度高于对照组。
