阿尔茨海默病及相关主要神经认知障碍患者照料者干预措施的有效性：一项系统评价。
Effectiveness of Interventions for Caregivers of People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review.
作者信息
Piersol Catherine Verrier, Canton Kerry, Connor Susan E, Giller Ilana, Lipman Stacy, Sager Suzanne
机构信息
Catherine Verrier Piersol, PhD, OTR/L, FAOTA, is Associate Professor, Department of Occupational Therapy, and Director, Jefferson Elder Care, Thomas Jefferson University, Philadelphia, PA;
Kerry Canton, MS, OTR/L, is Occupational Therapist, Beaumont Hospital, Taylor, MI. At the time of the systematic review, she was Student, Entry-Level Master's Program in Occupational Therapy, Thomas Jefferson University, Philadelphia, PA.
出版信息
Am J Occup Ther. 2017 Sep/Oct;71(5):7105180020p1-7105180020p10. doi: 10.5014/ajot.2017.027581.
OBJECTIVE
The goal of the evidence review was to evaluate the effectiveness of interventions for caregivers of people with Alzheimer's disease and related major neurocognitive disorders that facilitate the ability to maintain participation in the caregiver role.
METHOD
Scientific literature published in English between January 2006 and April 2014 was reviewed. Databases included MEDLINE, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews.
RESULTS
Of 2,476 records screened, 43 studies met inclusion criteria. Strong evidence shows that multicomponent psychoeducational interventions improve caregiver quality of life (QOL), confidence, and self-efficacy and reduce burden; cognitive reframing reduces caregiver anxiety, depression, and stress; communication skills training improves caregiver skill and QOL in persons with dementia; mindfulness-based training improves caregiver mental health and reduces stress and burden; and professionally led support groups enhance caregiver QOL.
CONCLUSION
Strong evidence exists for a spectrum of caregiver interventions. Translation of effective interventions into practice and evaluation of sustainability is necessary.
目的
证据综述的目的是评估针对阿尔茨海默病及相关主要神经认知障碍患者照料者的干预措施的有效性，这些干预措施有助于维持其照料者角色的参与能力。
方法
对2006年1月至2014年4月期间以英文发表的科学文献进行了综述。数据库包括MEDLINE、PsycINFO、CINAHL、OTseeker和Cochrane系统评价数据库。
结果
在筛选的2476条记录中，有43项研究符合纳入标准。有力证据表明，多成分心理教育干预可改善照料者的生活质量（QOL）、信心和自我效能感，并减轻负担；认知重构可减轻照料者的焦虑、抑郁和压力；沟通技能培训可提高照料痴呆症患者的照料者技能和生活质量；基于正念的培训可改善照料者的心理健康并减轻压力和负担；由专业人员主导的支持小组可提高照料者的生活质量。
结论
有大量证据支持一系列照料者干预措施。有必要将有效的干预措施转化为实际行动并评估其可持续性。
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