Gonzalez Elizabeth W, Polansky Marcia, Lippa Carol F, Gitlin Laura N, Zauszniewski Jaclene A
Doctoral Nursing Program, Division of Graduate Nursing, College of Nursing and Health Professions, Drexel University, 245 N. 15th Street, MS 1030, Philadelphia, PA 19102-1192, USA.
Department of Epidemiology and Biostatistics, Drexel University School of Public Health, Philadelphia, PA 19104, USA.
Int J Alzheimers Dis. 2014;2014:323478. doi: 10.1155/2014/323478. Epub 2014 Sep 29.
This pilot randomized trial tested an intervention aimed at enhancing resourcefulness in family caregivers of persons with dementia, postulating that caregivers' emotional outcomes (anxiety and depression) and role outcomes (reward, strain, mutuality, and preparedness) would be improved, and problem behaviors in the care recipients (persons with dementia) would be reduced as a result of the intervention. Subjects were stratified by race (white or African American) and by baseline resourcefulness (high or low). Family caregivers were randomly assigned to an intervention group in which subjects attended six resourcefulness training sessions, meeting for 2 hours weekly over 6 weeks, or to a control group that received no treatment. Small to medium effects were shown for the intervention program on resourcefulness, anxiety, and preparedness of the caregivers and on frequency of behavior problems in the care recipients. Caregivers in the intervention group reported significantly more resourcefulness skills, with a medium effect at week 6 and a small effect 12 weeks later, compared with the control group. Persons with dementia had fewer behavior problems in the intervention group compared with control, although the difference was not significant. Caregivers' anxiety was reduced in the intervention group at 12 weeks.
这项先导性随机试验测试了一项旨在提高痴呆症患者家庭护理人员应变能力的干预措施，假定通过该干预措施，护理人员的情绪结果（焦虑和抑郁）及角色结果（回报、压力、相互性和准备情况）将得到改善，且护理对象（痴呆症患者）的问题行为会减少。研究对象按种族（白人或非裔美国人）和基线应变能力（高或低）进行分层。家庭护理人员被随机分配到干预组，干预组的研究对象参加为期六周、每周两小时共六次的应变能力培训课程，或被分配到未接受任何治疗的对照组。干预项目在护理人员的应变能力、焦虑程度和准备情况以及护理对象的行为问题发生频率方面显示出小到中等程度的效果。与对照组相比，干预组的护理人员在第6周时报告称具备显著更多的应变能力技能，效果中等，12周后效果较小。与对照组相比，干预组中痴呆症患者的行为问题较少，尽管差异不显著。干预组护理人员的焦虑在12周时有所减轻。
