Schoenmakers Birgitte, Buntinx Frank, Delepeleire Jan
Academic Centre of General Practice, Catholic University Leuven, Kapucijnenvoer 33, Blok J, box 7001, 3000 Leuven, Belgium.
Int J Family Med. 2010;2010:184152. doi: 10.1155/2010/184152. Epub 2010 Jun 10.
Objective. Caring for a patient with cognitive decline has an important impact on the general well-being of family caregivers. Although highly appreciated, interventions in dementia home care remain mainly ineffective in terms of well-being. Consequently, in spite of an extensive support system, abrupt ending of home care remains more rule than exception. Method. The hypothesis was that the intervention of a care counselor, coordinating care in quasi-unstructured way during one year, will alleviate caregivers' feelings of depression. The study population was composed of community-dwelling patients with cognitive decline. A care counselor was at the exclusive disposal of the intervention group. Primary outcome measure was caregiver depression. Results. Finally, depression was 6.25 times less frequent in the intervention group. The actual intervention appeared minimal with only ten applications for more support followed by only three interventions effectively carried out. Although caregivers felt burdened and depressed, formal support remained stable. On the other hand, the availability of the care counselor made caregivers feel less depressed with the same amount of support. Conclusion. Carers do not always need to be surrounded with more professionals, but they want to feel more supported. In terms of policy, this could have some important implications.
目的。照顾认知能力下降的患者对家庭照顾者的总体幸福感有重要影响。尽管备受赞赏,但痴呆症家庭护理干预在幸福感方面仍然主要无效。因此,尽管有广泛的支持系统,但家庭护理突然终止仍是常态而非例外。方法。假设是,护理顾问进行为期一年的准非结构化护理协调干预,将减轻照顾者的抑郁情绪。研究对象为社区认知能力下降患者。干预组由一名专属护理顾问负责。主要结局指标是照顾者的抑郁情况。结果。最终,干预组的抑郁发生率降低了6.25倍。实际干预看起来很少,只有十次申请更多支持,随后仅有效实施了三次干预。尽管照顾者感到负担沉重和抑郁,但正式支持保持稳定。另一方面,护理顾问的存在使照顾者在获得相同支持量的情况下感觉抑郁程度减轻。结论。照顾者不一定总是需要更多专业人员围绕,但他们希望获得更多支持。在政策方面,这可能具有一些重要意义。
Am J Alzheimers Dis Other Demen. 2016-2
Cochrane Database Syst Rev. 2015-1-5
Age Ageing. 2007-1
J Am Board Fam Pract. 2005
Eur Neuropsychopharmacol. 2005-8
Int J Geriatr Psychiatry. 2005-6
Int Psychogeriatr. 2004-12
Am J Geriatr Psychiatry. 2004