Gaugler Joseph E, Reese Mark, Sauld Jill
Res Gerontol Nurs. 2015 Jul-Aug;8(4):161-72. doi: 10.3928/19404921-20150304-01. Epub 2015 Mar 10.
This multiple method pilot evaluation aimed to generate preliminary data on the effectiveness of the Residential Care Transition Module (RCTM). The RCTM is a six-session, 4-month psychosocial intervention designed to help families manage their emotional and psychological distress following residential care placement of a cognitively impaired relative. Seventeen family caregivers of relatives in a nursing home or assisted living memory care unit were randomly assigned to the RCTM treatment condition and 19 family caregivers were assigned to a usual care control group. Caregivers in the treatment condition reported significantly (p < 0.05) less emotional distress at 4 and 8 months on self-reported surveys than those in the control group. Post-RCTM focus groups emphasized the importance of readily available psychosocial support for families following the placement transition. The findings suggest that the provision of skilled psychosocial support can help families manage emotional distress and crises in the months following a cognitively impaired relative's admission to residential long-term care.
这项多方法试点评估旨在生成关于居家护理过渡模块（RCTM）有效性的初步数据。RCTM是一个为期六个月、共四个月的社会心理干预项目，旨在帮助家庭应对认知受损亲属入住居家护理机构后产生的情绪和心理困扰。17名养老院或辅助生活记忆护理单元中亲属的家庭照顾者被随机分配到RCTM治疗组，19名家庭照顾者被分配到常规护理对照组。在自我报告调查中，治疗组的照顾者在4个月和8个月时报告的情绪困扰明显（p < 0.05）少于对照组。RCTM后的焦点小组强调了安置过渡后为家庭提供随时可用的社会心理支持的重要性。研究结果表明，提供专业的社会心理支持可以帮助家庭在认知受损亲属入住长期居家护理后的几个月内应对情绪困扰和危机。
