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痴呆症患者照顾者治疗干预项目的最新进展:基于医院的个体治疗方案建议

Recent Updates of Therapeutic Intervention Programs for Caregivers of Patient with Dementia: Proposal of Hospital-Based Individual Therapy.

作者信息

Yeom Jiyoung, Yoo Rayoung, Bae Seonghoon, Kang Yeonwook, Kim Geon Ha, Na Hae Ri, Choi Seong Hye, Jeong Jee Hyang

机构信息

Department of Neurology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.

Department of Psychology, Chungbuk University, Cheongju, Korea.

出版信息

Dement Neurocogn Disord. 2016 Jun;15(2):29-36. doi: 10.12779/dnd.2016.15.2.29. Epub 2016 Jun 30.

Abstract

Caring for people with dementia is associated with multiple devastating social, financial, physical, and psychological challenges. There is strong evidence that multicomponent tailored caregiver intervention is effective in improving caregiver well-being and delaying institutionalization. In US, the government is actively funding for developing caregiver program and to prove its efficacy through randomized controlled trials (RCTs) to translate into practice. Even with the introduction of Korean Long-term Care Plan, still, the most of the patients with dementia are being cared by the family members. The distress of caregiving is enormous, but structured therapeutic intervention program which efficacy is proven through RCT is very insufficient in Korea. The purpose of this article is to review the caregiver intervention programs of ongoing clinical trials comparing US and Korea, and to propose a tailored, therapeutic intervention program (I-CARE; A multicenter, randomized trial to assess efficacy of therapeutic intervention programs for decreasing caregiver burden in dementia caregiver) for hospital-care in Korea.

摘要

照顾痴呆症患者伴随着诸多极具破坏性的社会、经济、身体和心理挑战。有强有力的证据表明,多组分定制化的照顾者干预措施在改善照顾者福祉和延缓机构化方面是有效的。在美国,政府正在积极资助开展照顾者项目,并通过随机对照试验(RCT)来证明其有效性,以便将其转化为实际应用。即便韩国实施了长期护理计划,但大多数痴呆症患者仍由家庭成员照顾。照顾带来的痛苦是巨大的,然而在韩国,经过RCT证明有效的结构化治疗干预项目却非常匮乏。本文旨在回顾美国和韩国正在进行的临床试验中的照顾者干预项目,并针对韩国的医院护理提出一个定制化的治疗干预项目(I-CARE;一项评估治疗干预项目对减轻痴呆症照顾者负担效果的多中心随机试验)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e107/6427980/6158b365f23c/dnd-15-29-g001.jpg

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