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电话传递式心理教育干预对香港华裔痴呆症照顾者的效果:一项单盲随机对照试验。

Telephone-delivered psychoeducational intervention for Hong Kong Chinese dementia caregivers: a single-blinded randomized controlled trial.

机构信息

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Special Administrative Region ; Jockey Club Centre for Positive Ageing, Hong Kong, Special Administrative Region.

出版信息

Clin Interv Aging. 2013;8:1191-7. doi: 10.2147/CIA.S48264. Epub 2013 Sep 16.

Abstract

PURPOSE

Many family caregivers of persons with dementia (PWD) are unable to participate in community center-based caregiver support services because of logistical constraints. This study evaluated the effectiveness of a telephone-delivered psychoeducational intervention for family caregivers of PWD in alleviating caregiver burden and enhancing caregiving self-efficacy.

SUBJECTS AND METHODS

In a single-blinded randomized controlled trial, 38 family caregivers of PWD were randomly allocated into an intervention group or a control group. The intervention group received psychoeducation from a registered social worker over the phone for 12 sessions. Caregivers in the control group were given a DVD containing educational information about dementia caregiving. Outcomes of the intervention were measured by the Chinese versions of the Zarit Burden Interview and the Revised Scale for Caregiving Self-efficacy. Mann-Whitney U tests were used to compare the differences between the intervention and control groups.

RESULTS

The level of burden of caregivers in the intervention group reduced significantly compared with caregivers in the control group. Caregivers in the intervention group also reported significantly more gain in self-efficacy in obtaining respite than the control group.

CONCLUSION

A structured telephone intervention can benefit dementia caregivers in terms of self-efficacy and caregiving burden. The limitations of the research and recommendations for intervention are discussed.

摘要

目的

许多痴呆症患者(PWD)的家庭照顾者由于后勤限制,无法参加社区中心的照顾者支持服务。本研究评估了一种通过电话为 PWD 的家庭照顾者提供的心理教育干预措施在减轻照顾者负担和增强照顾者自我效能方面的有效性。

方法

在一项单盲随机对照试验中,将 38 名 PWD 的家庭照顾者随机分配到干预组或对照组。干预组接受注册社工通过电话进行的 12 次心理教育。对照组的照顾者获得了包含有关痴呆症护理信息的 DVD。干预的结果通过中文版的 Zarit 负担访谈和修订版的照顾者自我效能量表进行测量。采用曼-惠特尼 U 检验比较干预组和对照组之间的差异。

结果

与对照组相比,干预组照顾者的负担水平显著降低。干预组的照顾者在获得喘息方面的自我效能感也显著提高。

结论

结构化的电话干预可以使痴呆症照顾者在自我效能和照顾负担方面受益。讨论了研究的局限性和干预建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0c4/3783504/c13c2fce357e/cia-8-1191Fig1.jpg

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