Etemadifar Shahram, Bahrami Masoud, Shahriari Mohsen, Farsani Alireza Khosravi
Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan university of medical sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2014 May;19(3):217-23.
Living with heart failure patients is a complex situation for family caregivers. Few studies have been conducted to examine the effects of interventional programs to ease this condition. The purpose of this study was to determine the effectiveness of a supportive educative group intervention in reducing family caregivers' burden of caregiving.
This randomized clinical trail was conducted at a selective teaching hospital in Isfahan, Iran in 2012. The intervention consisted of four weekly multimedia training sessions of 2 h that included education and family support for 50 family caregivers. Caregiver burden was measured using the Zarit Burden Interview (ZBI). Paired t-test, Student's t-tests, and repeated measures analysis of variance (ANOVA) were used to test for significant differences of the mean scores of burden between the intervention and control groups over a 3-month period.
The intervention was successful in reducing caregiver burden over time both at the end of the intervention period (P = 0.000) and 3 months after the intervention (P = 0.000).
Nurses and other healthcare providers can use the findings of this study in order to implement effective programs to reduce family caregivers' challenges and to provide them more support.
对于家庭照顾者而言，与心力衰竭患者共同生活是一种复杂的情况。很少有研究探讨干预项目对缓解这种状况的效果。本研究的目的是确定支持性教育小组干预在减轻家庭照顾者护理负担方面的有效性。
2012年在伊朗伊斯法罕的一家选择性教学医院进行了这项随机临床试验。干预措施包括为期四周、每周2小时的多媒体培训课程，内容涵盖教育和家庭支持，共有50名家庭照顾者参与。使用扎里特负担访谈量表（ZBI）来衡量照顾者的负担。采用配对t检验、学生t检验和重复测量方差分析（ANOVA）来检验干预组和对照组在3个月期间负担平均得分的显著差异。
干预措施在干预期结束时（P = 0.000）以及干预后3个月（P = 0.000）均成功减轻了照顾者的负担。
护士和其他医疗服务提供者可以利用本研究的结果，实施有效的项目，以减少家庭照顾者面临的挑战，并为他们提供更多支持。
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