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一项心理社会干预对近期入住养老院居民照料者的影响:一项随机对照试验

Effects of a Psychosocial Intervention on Caregivers of Recently Placed Nursing Home Residents: A Randomized Controlled Trial.

作者信息

Schulz Richard, Rosen Jules, Klinger Julie, Musa Donald, Castle Nicholas G, Kane April, Lustig Amy

机构信息

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA.

出版信息

Clin Gerontol. 2014 Jan 1;37(4):347-367. doi: 10.1080/07317115.2014.907594.

Abstract

Many caregivers continue to provide care and support to their care recipients after institutional placement. A two-group randomized controlled trial was carried out to test the efficacy of a psychosocial intervention for informal caregivers whose care recipients resided in a long-term care facility. The intervention was delivered during the 6 month period following baseline assessment. Follow-up assessments were carried out at 6, 12, and 18 months. Primary outcomes were caregiver depression, anxiety, burden, and complicated grief. Significant time effects were found for all three primary outcomes showing that caregiver depression, anxiety, and burden improved over time. No treatment effects were found for these outcomes. However, complicated grief was significantly lower for caregivers in the treatment condition.

摘要

许多照料者在其照料对象被安置到机构后仍继续为他们提供照料和支持。开展了一项两组随机对照试验,以测试针对照料对象居住在长期护理机构的非正式照料者的心理社会干预措施的效果。干预措施在基线评估后的6个月期间实施。在6个月、12个月和18个月时进行随访评估。主要结局指标为照料者的抑郁、焦虑、负担和复杂性悲伤。所有三个主要结局指标均发现了显著的时间效应,表明照料者的抑郁、焦虑和负担随时间推移有所改善。这些结局指标未发现治疗效果。然而,接受治疗的照料者的复杂性悲伤显著较低。

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