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痴呆症辅导员:电话辅导对社区居住的痴呆症患者照顾者的影响。

Dementelcoach: effect of telephone coaching on carers of community-dwelling people with dementia.

机构信息

VU University Medical Centre, Department of Psychiatry/Alzheimer Centre, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.

出版信息

Int Psychogeriatr. 2012 Feb;24(2):212-22. doi: 10.1017/S1041610211001827.

Abstract

BACKGROUND

Dementelcoach is a new telephone intervention to support informal caregivers of community dwelling people with dementia. The effectiveness of this intervention was evaluated on burden and mental health problems of informal caregivers.

METHODS

A pre-test/post-test comparison group design was used with three groups of informal caregivers.Two of the groups were experimental and received either (1) telephone coaching or (2) telephone coaching in combination with respite care (psychogeriatric day care); the third was a comparison group which received day care only. Telephone coaching was offered by trained coaches once every two to three weeks over a period of 20 weeks.

RESULTS

Informal caregivers who received telephone coaching in combination with respite care reported significantly less burden compared to caregivers who received telecoaching only, and they experienced significantly fewer mental health problems than those who received day care only.

CONCLUSION

Telecoaching according to the principles of Dementelcoach combined with respite care(psychogeriatric day care) is more effective in reducing burden and health complaints in informal caregivers of community-dwelling people with dementia than telecoaching or day care only.

摘要

背景

Dementelcoach 是一种新的电话干预措施,旨在为社区居住的痴呆症患者的非正式照顾者提供支持。该干预措施的有效性已针对非正式照顾者的负担和心理健康问题进行了评估。

方法

采用预测试/后测试比较组设计,将三组非正式照顾者分为三组。两组为实验组,分别接受(1)电话辅导或(2)电话辅导与喘息护理(心理老年日托)相结合;第三组为对照组,仅接受日托。电话辅导由经过培训的辅导员每隔两到三周提供一次,持续 20 周。

结果

与仅接受电话辅导的照顾者相比,接受电话辅导和喘息护理的照顾者报告的负担明显减轻,并且与仅接受日托的照顾者相比,他们的心理健康问题明显减少。

结论

根据 Dementelcoach 的原则进行的电话辅导与喘息护理(心理老年日托)相结合,比仅进行电话辅导或日托更能有效减轻社区居住的痴呆症患者的非正式照顾者的负担和健康问题。

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