针对痴呆症患者照料者的在线干预措施:一项系统评价

Online interventions for caregivers of people with dementia: a systematic review.

作者信息

Parra-Vidales Esther, Soto-Pérez Felipe, Perea-Bartolomé Mª Victoria, Franco-Martín Manuel A, Muñoz-Sánchez Juan L

机构信息

INTRAS Foundation.

Department of basic Psychology, Psychobiology and Methodology of Behavior Sciences. University of Salamanca.

出版信息

Actas Esp Psiquiatr. 2017 May;45(3):116-26. Epub 2017 May 1.

DOI:
Abstract

INTRODUCTION

The elderly population is growing driven by the increase in life expectancy, which in turn entails an increase in the number of people with chronic diseases such as dementia. The vast majority of people suffering from this illness is assisted by informal caregivers, who play a key role in fulfilling the patients’ needs, promoting the possibility for people with dementia to live in their home environment. The Internet as a support tool in psychoeducational programs can significantly improve accessibility of them, becoming a currently consolidated interactive resource for the training of patients with acute and chronic diseases, and their caregivers.

POPULATION AND METHOD

A literature search of the Pubmed, PsyINFO, Scopus, SciELO and Psicodoc databases was performed to systematically review those studies related to web-based interventions for informal caregivers of people with dementia or cognitive impairment.

RESULTS

On balance, the studies show a significant improvement after the psychoeducational intervention. Specifically, the improvement in caregivers’ wellbeing can be observed in the measures for self-efficacy, anxiety and depression.

CONCLUSIONS

Online interventions are a promising strategy for the care of people with dementia. It would be advisable to perform further randomized trials to assess the reasons for lack of adherence to intervention, as well as usability studies to test the different software programs used.

摘要

引言

随着预期寿命的增加,老年人口不断增长,这反过来又导致痴呆症等慢性病患者数量增加。绝大多数患有这种疾病的人由非正式护理人员照顾,他们在满足患者需求方面发挥着关键作用,增加了痴呆症患者在家中生活的可能性。互联网作为心理教育项目中的一种支持工具,可以显著提高这些项目的可及性,成为目前用于培训急慢性疾病患者及其护理人员的一种成熟的互动资源。

人群与方法

对PubMed、PsyINFO、Scopus、SciELO和Psicodoc数据库进行文献检索,以系统回顾与针对痴呆症或认知障碍患者的非正式护理人员的网络干预相关的研究。

结果

总体而言,研究表明心理教育干预后有显著改善。具体而言,在自我效能感、焦虑和抑郁等指标上可以观察到护理人员幸福感的提升。

结论

在线干预是照顾痴呆症患者的一种有前景的策略。建议进行进一步的随机试验,以评估干预依从性差的原因,以及进行可用性研究以测试所使用的不同软件程序。

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