Shata Zeinab Nazeeh, Amin Marwa R, El-Kady Heba M, Abu-Nazel Mervat W
Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Department of Psychogeriatrics, Al-Maamoura Psychiatric Hospital, Alexandria, Egypt.
Avicenna J Med. 2017 Apr-Jun;7(2):54-63. doi: 10.4103/2231-0770.203610.
Unlike other chronic diseases, dementia caregiving is associated with enormous psychological burden, which stresses the need for caregivers-directed psychosocial interventions. Aim: This randomized controlled trial (RCT) was conducted to evaluate the short-term efficacy of a multi-component psychosocial intervention program for informal caregivers of persons with neurocognitive disorders in Alexandria, Egypt.
Informal caregivers (120) were randomly assigned into intervention and control groups. The intervention group (60) participated in a multi-component program of 8 sessions, including psycho-education, group cognitive-behavioral therapy, and group social support. Program primary outcomes were assessed after program termination (post-1), and three months later (post-2). Measured outcomes included caregivers' knowledge, depression and anxiety symptoms, and perceived burden.
Caregivers' depression, anxiety, and perceived burden demonstrated significant drop at post-1, and post-2 compared to the control group (< 0.001). The intervention group showed significant negative absolute change on depression, anxiety, and perceived burden measures, while on the dementia-related knowledge measure, a significant positive absolute change was found at post-1, and post-2 (< 0.001), in comparison to controls. All outcome measures recorded a large effect size; the highest was for knowledge (partial eta2 = 0.98), and the least was for perceived burden (partial eta2 = 0.71).
A multi-component psychosocial intervention for caregivers of persons with neurocognitive disorders demonstrated a short-term efficacy in reducing their burden, depression, and anxiety, as well as improving caregivers' knowledge. However, further research is needed to investigate long-term efficacy of the intervention.
与其他慢性疾病不同，痴呆症护理会带来巨大的心理负担，这凸显了针对护理者开展社会心理干预的必要性。目的：本随机对照试验（RCT）旨在评估一项多成分社会心理干预项目对埃及亚历山大港神经认知障碍患者非正式护理者的短期疗效。
120名非正式护理者被随机分为干预组和对照组。干预组（60人）参加了一个由8节课程组成的多成分项目，包括心理教育、团体认知行为疗法和团体社会支持。在项目结束后（1期后）以及三个月后（2期后）评估项目的主要结果。测量的结果包括护理者的知识、抑郁和焦虑症状以及感知负担。
与对照组相比，护理者的抑郁、焦虑和感知负担在1期后和2期后均显著下降（<0.001）。干预组在抑郁、焦虑和感知负担测量方面显示出显著的负向绝对变化，而在痴呆相关知识测量方面，与对照组相比，1期后和2期后发现显著的正向绝对变化（<0.001）。所有结果测量均记录到较大的效应量；知识方面最高（偏 eta2 = 0.98），感知负担方面最低（偏 eta2 = 0.71）。
一项针对神经认知障碍患者护理者的多成分社会心理干预在减轻他们的负担、抑郁和焦虑以及提高护理者知识方面显示出短期疗效。然而，需要进一步研究来调查该干预的长期疗效。
