Moon Heehyul, Adams Kathryn Betts
Case Western Reserve University, USA.
Dementia (London). 2013 Nov;12(6):821-39. doi: 10.1177/1471301212447026. Epub 2012 May 21.
The need for dyadic intervention is enhanced with increasing numbers of older adults with early-stage dementia. The purpose of this paper is to review the effects of dyadic interventions on caregivers (CGs) and care recipients (CRs) at the early stage of dementia. Four databases, AgeLine, Medline, EBSCO, and PyscINFO were searched and relevant literature from 2000 onwards was reviewed. The twelve studies identified used a variety of intervention approaches including support group, counseling, cognitive stimulation, skill training, and notebook-keeping. This review suggests that intervention programs for early-stage dementia caregiving dyads were feasible and well accepted by participants. The reviewed studies provided rich evidence of the significance of mutual understanding and communication to partners' well-being and relationship quality within the caregiving process. The findings suggest that these intervention approaches improved cognitive function of the CRs, social relations, and the relationship between the primary CG and the CR, although evidence of long-term effectiveness is lacking.
随着患有早期痴呆症的老年人数量不断增加,对二元干预的需求也日益增强。本文旨在综述二元干预对痴呆症早期阶段的照料者(CGs)和受照料者(CRs)的影响。检索了四个数据库,即AgeLine、Medline、EBSCO和PyscINFO,并对2000年以来的相关文献进行了综述。所确定的12项研究采用了多种干预方法,包括支持小组、咨询、认知刺激、技能培训和记录笔记。本综述表明,针对早期痴呆症照料二元组的干预项目是可行的,并且受到参与者的广泛接受。所综述的研究提供了丰富的证据,证明在照料过程中相互理解和沟通对伴侣的幸福感和关系质量具有重要意义。研究结果表明,尽管缺乏长期有效性的证据,但这些干预方法改善了受照料者的认知功能、社会关系以及主要照料者与受照料者之间的关系。