School of Nursing, Hsin Sheng College of Medical Care and Management, Taoyuan, Taiwan.
Int J Geriatr Psychiatry. 2013 May;28(5):504-13. doi: 10.1002/gps.3853. Epub 2012 Jul 9.
Little is known about the longitudinal effects of training programs on family caregivers' health-related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home-based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia.
Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2 weeks, 3 months, and 6 months afterwards. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale.
Family caregivers who received the individualized home-based training program had better health outcomes in bodily pain (b = 12.37, p < 0.013), role disability due to emotional problems (b = 17.74, p < 0.013), vitality (b = 12.40, p < 0.001), better mental summary score (b = 5.14, p < 0.003), and decreased risk for depression (odds ratio = 0.15, confidence interval = 0.04-0.65, p < 0.013) than those in the control group during the 6 months following the training program.
Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.
对于培训计划对长期家庭照顾者的健康相关生活质量（HRQoL）和抑郁症状的影响知之甚少。因此，本研究的目的是检验家庭照顾者培训计划对痴呆症老年患者家庭照顾者的 HRQoL 和抑郁症状的影响。
在培训计划之前（基线）评估结果（照顾者的 HRQoL 和抑郁症状），并在之后的 2 周、3 个月和 6 个月进行评估。HRQoL 使用医疗结果研究 36 项短式健康调查，台湾版进行衡量。抑郁症状使用中文版流行病学研究抑郁量表进行衡量。
接受个体化家庭培训计划的家庭照顾者在身体疼痛（b = 12.37，p < 0.013）、因情绪问题导致的角色障碍（b = 17.74，p < 0.013）、活力（b = 12.40，p < 0.001）、心理健康总分（b = 5.14，p < 0.003）方面的健康结果更好，并且在培训计划后 6 个月内，发生抑郁的风险降低（优势比= 0.15，置信区间= 0.04-0.65，p < 0.013），与对照组相比。
我们的家庭照顾者培训计划改善了照顾者的 HRQoL，特别是因情绪问题导致的角色限制，并降低了他们患抑郁症的风险。
