Zauszniewski Jaclene A, Lekhak Nirmala, Burant Christopher J, Underwood Patricia W, Morris Diana L
Case Western Reserve University, Cleveland, OH, USA
Case Western Reserve University, Cleveland, OH, USA.
West J Nurs Res. 2016 Dec;38(12):1554-1573. doi: 10.1177/0193945916655798. Epub 2016 Jun 23.
Providing care for an elder with dementia can produce extreme stress that adversely affects caregiver health. Learning to be resourceful, which involves practicing resourcefulness skills using a journal or voice recorder, may reduce caregiver stress. However, before testing the effectiveness of journaling and voice recording as resourcefulness training (RT) practice methods, intervention fidelity should first be established. This pilot trial with 63 women dementia caregivers examined the fidelity of journaling and voice recording and whether allowing a choice between the methods affected RT intervention fidelity. Following RT, Resourcefulness Scale scores were similar for journal and recorder methods but higher for caregivers in the choice versus random condition. Patterns of RT skill use documented in journals or recordings were similar for choice and random conditions and for journal and recorder methods. The results support the implementation fidelity of RT that allows caregivers to choose a method to reinforce their resourcefulness skills.
照顾患有痴呆症的老年人会产生极大的压力，对照顾者的健康产生不利影响。学会足智多谋，即通过使用日记或录音机来练习足智多谋的技能，可能会减轻照顾者的压力。然而，在测试写日记和录音作为足智多谋训练（RT）实践方法的有效性之前，首先应确定干预的保真度。这项针对63名女性痴呆症照顾者的试点试验检查了写日记和录音的保真度，以及允许在这两种方法之间进行选择是否会影响RT干预的保真度。RT之后，日记法和录音法的足智多谋量表得分相似，但在选择条件下的照顾者得分高于随机条件下的照顾者。日记或录音中记录的RT技能使用模式在选择条件和随机条件下以及日记法和录音法之间是相似的。结果支持了RT的实施保真度，即允许照顾者选择一种方法来强化他们的足智多谋技能。
