一种新型的为期两天的干预措施可减轻痴呆症患者照料者的压力。
A novel two-day intervention reduces stress in caregivers of persons with dementia.
作者信息
Spalding-Wilson Kelsey N, Guzmán-Vélez Edmarie, Angelica Jade, Wiggs Kelsey, Savransky Anya, Tranel Daniel
机构信息
Department of Psychological and Brain Sciences, University of Iowa; and Department of Neurology, Division of Neuropsychology and Cognitive Neuroscience, University of Iowa College of Medicine, Iowa City, IA, USA.
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
Alzheimers Dement (N Y). 2018 Sep 5;4:450-460. doi: 10.1016/j.trci.2018.08.004. eCollection 2018.
INTRODUCTION
Caregivers of individuals with dementia are at heightened risk for stress-related mental and physical illnesses, and this problem is growing. There is a critical need to develop effective interventions for caregivers. This study tested whether a 2-day intervention improved psychological health in caregivers of individuals with dementia.
METHODS
Family caregivers (N = 104) were randomly assigned to a 2-day intervention or wait-list control group. The intervention uses techniques aimed at fostering self-care for caregivers and improving communication between caregivers and individuals with dementia. Self-reported caregiver burden, stress, anxiety, and depression were measured at 1, 3, and 6 months after intervention.
RESULTS
Most participants (91.5%) completed the entire study. The intervention significantly reduced perceived stress for up to 6 months (Β = -2.84, t = -2.68, = .008) and was considered by nearly all respondents to be helpful for managing challenging behaviors.
DISCUSSION
A low-cost, brief intervention shows promise for producing lasting improvements in caregiver's psychological health.
引言
痴呆症患者的照料者面临与压力相关的精神和身体疾病的风险更高，而且这个问题正在加剧。迫切需要为照料者开发有效的干预措施。本研究测试了一项为期两天的干预措施是否能改善痴呆症患者照料者的心理健康。
方法
家庭照料者（N = 104）被随机分配到为期两天的干预组或等待名单对照组。该干预措施采用旨在促进照料者自我护理以及改善照料者与痴呆症患者之间沟通的技术。在干预后的1个月、3个月和6个月测量照料者自我报告的负担、压力、焦虑和抑郁情况。
结果
大多数参与者（91.5%）完成了整个研究。该干预措施在长达6个月的时间里显著降低了感知压力（Β = -2.84，t = -2.68，P = .008），并且几乎所有受访者都认为该措施有助于管理具有挑战性的行为。
讨论
一种低成本、简短的干预措施有望在照料者的心理健康方面产生持久的改善。
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