The University of Queensland, UQ Centre for Clinical Research, The University of Queensland, Brisbane, Australia.
Int Psychogeriatr. 2012 Dec;24(12):1927-42. doi: 10.1017/S1041610212001366.
People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.
A pre-test/post-test controlled trial was undertaken with caregiver-care-recipient dyads living in the community. Measures of the carers' knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.
Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers' knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.
This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.
痴呆症患者有一系列需求，这些需求由非专业护理人员来满足。本研究采用基于研究的记忆和沟通策略，开发了一种基于 DVD 的培训计划。评估了培训对护理人员体验以及痴呆症患者福祉的影响。
采用社区居住的护理人员-被护理者二人组进行预测试/后测试对照试验。在干预前和干预后三个月，对护理人员记忆和沟通策略的知识、负担、积极的护理认知以及对问题行为的认知等方面进行了测量。还评估了痴呆症患者的抑郁和福祉。测量了对培训的满意度和反馈。
29 对（13 个培训组，16 个对照组）参与了研究。采用 Bonferroni 校正进行多重比较校正，将α设置为 0.00385。与对照组相比，培训组护理人员的知识显著提高（p = 0.0011）。培训组护理人员报告说，护理对象的破坏性行为的频率减少（p = 0.028），积极护理方面的认知增加（p = 0.039），均接近显著水平。培训组护理对象的口头表达抑郁行为的频率也接近显著增加（p = 0.0126）。两组之间观察到的抑郁行为频率没有显着差异。
这种针对痴呆症患者护理人员的培训方法在知识和护理体验方面似乎很有前途。进一步的研究可以用更大的样本量来监测培训对更广泛的抑郁和福祉指标的影响。
