Ferré-Grau Carme, Casado Maria Sevilla, Cid-Buera Dolors, LLeixà-Fortuño Mar, Monteso-Curto Pilar, Berenguer-Poblet Marta
College of Nursing, University of Rovira i Virgili, Tarragona, Spain.
Catholic University of Leuven, Leuven, Belgium.
Rev Esc Enferm USP. 2014 Aug;48 Spec No:87-94. doi: 10.1590/S0080-623420140000600013. Epub 2014 Aug 1.
Objective To assess the effectiveness of Problem-Solving Therapy (PST) on family caregivers through the use of scales to measure anxiety, depression and emotional distress; and to explore facilitating factors and obstacles for its use based on the narrative of nurses. Method A clinical trial and an exploratory focus group with the use of mixed analysis methodology. The study was conducted in a primary health care center in Tarragona, Spain, and the sample consisted of 122 family caregivers who were included in the home care service, and 10 nurses who participated in the intervention group. Family caregivers with evident symptoms of anxiety, depression and emotional distress received PST in the intervention group. The intervention group also consisted of a discussion with eight nurses, which was transcribed and submitted to content analysis. Conclusion Problem-Solving Therapy proved to be effective in reducing perceived anxiety, depression and emotional distress. We identified its strong points and obstacles as described by nurses.
目的 通过使用测量焦虑、抑郁和情绪困扰的量表,评估问题解决疗法(PST)对家庭照顾者的有效性;并基于护士的叙述探讨其使用的促进因素和障碍。方法 采用混合分析方法进行一项临床试验和一个探索性焦点小组。该研究在西班牙塔拉戈纳的一个初级卫生保健中心进行,样本包括122名纳入家庭护理服务的家庭照顾者,以及10名参与干预组的护士。干预组中,有明显焦虑、抑郁和情绪困扰症状的家庭照顾者接受了问题解决疗法。干预组还包括与八名护士的讨论,讨论内容被转录并进行了内容分析。结论 问题解决疗法被证明在减轻感知到的焦虑、抑郁和情绪困扰方面是有效的。我们确定了护士所描述的其优点和障碍。