CINTESIS.ICBAS, University of Porto, Rua de Jorge Viterbo Ferreira, 228, 4050-313, Porto, Portugal.
CINTESIS.ICBAS and EPIUnit-ISPUP, University of Porto, Rua de Jorge Viterbo Ferreira, 228, 4050-313, Porto, Portugal.
Community Ment Health J. 2019 Feb;55(2):296-303. doi: 10.1007/s10597-018-0345-6. Epub 2018 Oct 25.
The study presents a community intervention program targeted at caregivers of individuals with dementia, and assesses its main outcomes in terms of caregiver strain, positive aspects of care, and physical and mental health. A total of 187 caregivers completed a 10-week psychoeducational program and were assessed at baseline, post intervention and at 6-month follow-up. The evaluation of the program was performed using multivariable linear mixed effect models. Results showed an improvement in mental health, an increasing of satisfaction with care, and a lessening of caregiving strain. Nevertheless, such effects were distinctively associated with important objective circumstances of care, namely the existence of a secondary caregiver, the number of hours of care, the dependency level of the care-recipient, and the age of the caregiver. To foster wellbeing of the caregivers, intervention should particularly focus on the share of caregiving with others, and on uncovering positive aspects of care.
本研究提出了一项针对痴呆症患者照顾者的社区干预计划，并评估了其在照顾者压力、积极的照顾方面以及身心健康方面的主要结果。共有 187 名照顾者完成了为期 10 周的心理教育计划，并在基线、干预后和 6 个月随访时进行了评估。使用多变量线性混合效应模型对该计划进行了评估。结果显示，心理健康状况得到改善，对护理的满意度提高，照顾压力减轻。然而，这些影响与护理的重要客观情况密切相关，即是否存在二级护理者、护理时间、护理对象的依赖程度以及护理者的年龄。为了促进照顾者的幸福感，干预措施应特别关注与他人分担照顾责任，并发现照顾的积极方面。
