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针对老年人非正式照料者的心理教育项目的有效性。

Effectiveness of a psychoeducational programme for informal caregivers of older adults.

作者信息

Alves Sara, Teixeira Laetitia, Azevedo Maria J, Duarte Mafalda, Paúl Constança

机构信息

Research and Education Unit on Ageing (UNIFAI/ICBAS-UP), Porto, Portugal.

University of Porto Medical School, Porto, Portugal.

出版信息

Scand J Caring Sci. 2016 Mar;30(1):65-73. doi: 10.1111/scs.12222. Epub 2015 Apr 9.

Abstract

PURPOSE OF THE STUDY

This study explored the effectiveness of psychoeducational programme for informal caregivers called 'Caring at home'.

DESIGN AND METHODS

The sample included 60 informal caregivers of elderly people (≥60 years) living in the community. Socio-demographic information of informal caregivers and care receivers was collected with the COPE Index. The assessment protocol comprised four scales: 12-item Short-Form Health Survey, General Health Questionnaire-12, Positive Aspects of Caregiving and Caregiver Strain Index Modified. There were five assessment moments: a pretest, a post-test and three follow-ups.

RESULTS

Informal caregivers had an average age of 52.08 years (SD = 9.11) and were mainly women (90.0%), married/partnered (75.0%) and children of the care recipients (61.7%). The median time spent in care was 12 hours/day (IQR = 18). Results showed a favourable evolution after the psychoeducational intervention, a significant improvement in caregivers' mental health (p = 0.03) from pretest to 1st follow-up (2/3 months after the psychoeducational intervention) and the maintenance of the other assessed dimensions of the caregivers' behaviour.

IMPLICATIONS

The psychoeducational intervention seems to promote improvements in mental health and the maintenance of other favourable conditions at baseline. These results may indicate that psychoeducational programme are beneficial to minimise or prevent adverse effects of caregiving.

摘要

研究目的

本研究探讨了名为“居家照护”的心理教育项目对非正式照护者的有效性。

设计与方法

样本包括60名居住在社区的60岁及以上老年人的非正式照护者。使用应对指数收集非正式照护者和受照护者的社会人口学信息。评估方案包括四个量表:12项简短健康调查问卷、一般健康问卷 - 12、照护的积极方面和改良的照护者压力指数。有五个评估时间点:一次预测试、一次后测试和三次随访。

结果

非正式照护者的平均年龄为52.08岁(标准差 = 9.11),主要为女性(90.0%)、已婚/有伴侣(75.0%)且是受照护者的子女(61.7%)。平均每天花费的照护时间中位数为12小时(四分位间距 = 18)。结果显示,心理教育干预后情况向好发展,从预测试到第一次随访(心理教育干预后2/3个月)照护者的心理健康有显著改善(p = 0.03),且照护者行为的其他评估维度保持稳定。

启示

心理教育干预似乎能促进心理健康的改善以及维持基线时的其他良好状况。这些结果可能表明心理教育项目有利于将照护的不良影响降至最低或加以预防。

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