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一项关于心理教育干预对精神障碍患者家庭照顾者有效性的随机对照试验。

A Randomized, Controlled Trial of the Effectiveness of a Psychoeducational Intervention on Family Caregivers of Patients with Mental Disorders.

作者信息

Tabeleão Viviane, Tomasi Elaine, de Avila Quevedo Luciana

机构信息

Postgraduate Programme in Health and Behavior, Universidade Católica de Pelotas-UCPel, Gonçalves Chaves, 377-411 C, Pelotas, CEP 96015-560, Brazil.

Social Medicine Program, Federal University of Pelotas, Pelotas, Brazil.

出版信息

Community Ment Health J. 2018 Feb;54(2):211-217. doi: 10.1007/s10597-017-0126-7. Epub 2017 Apr 25.

Abstract

The present study aimed to investigate the effectiveness of a psychoeducational intervention on caregivers of patients assisted by the Center for Psychosocial Health Care (CPHC) focusing on the patient's psychopathology. This was a randomized clinical trial with 130 caregivers with higher mean burden scores assessed using the Zarit Burden Interview Scale (ZBI) (66 caregivers in the intervention group and 64 in the control group). The intervention included six home visits of psychoeducational interventions according to each mental disorder identified in the CPHC records. The intervention group had a reduction of 4.8 points in ZBI mean score (p = 0.008) and in the control group, the reduction was 1.9 points, which was not significant (p = 0.305). It is possible to think that psychoeducation may have served to inform about the disease and how to deal with it, to give emotional support to caregivers and to implement coping strategies and stress management.

摘要

本研究旨在调查一项心理教育干预措施对由心理社会医疗保健中心(CPHC)照料的患者的照料者的有效性,该干预措施聚焦于患者的精神病理学。这是一项随机临床试验,共有130名照料者参与,使用扎里特负担访谈量表(ZBI)评估,他们的平均负担得分较高(干预组66名照料者,对照组64名照料者)。干预措施包括根据CPHC记录中确定的每种精神障碍进行六次心理教育干预家访。干预组的ZBI平均得分降低了4.8分(p = 0.008),而对照组降低了1.9分,差异不显著(p = 0.305)。可以认为,心理教育可能有助于提供有关疾病及其应对方法的信息,给予照料者情感支持,并实施应对策略和压力管理。

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