Beinart N, Weinman J, Wade D, Brady R
Institute of Psychiatry, Kings College London, UK.
Dement Geriatr Cogn Dis Extra. 2012 Jan;2(1):638-48. doi: 10.1159/000345777. Epub 2012 Dec 15.
Caring for a patient with Alzheimer's disease (AD) is associated with poor quality of life and deteriorating health for the caregiver.
This comprehensive review was performed to investigate the current literature on caregiver burden, factors affecting caregiver burden and the effectiveness of different types of intervention.
Successful psychoeducational interventions for caregivers have included provision of information about AD, care planning, advice about patient management and the importance of self-care, skills training to aid patient management, stress management training, and problem-solving and decision-making guidance.
Interventions that are individually tailored to the caregiver are particularly effective at reducing caregiver burden and should be further investigated. The use of effective pharmacological treatment for the improvement and/or stabilisation of AD symptoms in the patient is also likely to improve caregiver burden.
照顾阿尔茨海默病（AD）患者会给照顾者带来生活质量下降和健康恶化的问题。
进行这项全面综述以调查当前关于照顾者负担、影响照顾者负担的因素以及不同类型干预措施有效性的文献。
针对照顾者的成功心理教育干预措施包括提供有关AD的信息、护理计划、患者管理建议及自我护理的重要性、帮助患者管理的技能培训、压力管理培训以及问题解决和决策指导。
针对照顾者量身定制的干预措施在减轻照顾者负担方面特别有效，应进一步研究。对患者使用有效的药物治疗来改善和/或稳定AD症状也可能减轻照顾者负担。
