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《与痴呆症患者共同生活》:家庭照顾者培训项目——一项研究方案

"Living together with dementia": Training programme for family caregivers - A study protocol.

作者信息

Sousa Lia, Sequeira Carlos, Ferré-Grau Carme, Neves Pedro, Lleixá-Fortuño Mar, Monteiro Ana, Meireles Joana, Pinto Madalena, Gomes Tiago

机构信息

Hospitalar Centre of São João, Porto Nursing School, Institute of Biomedical Sciences Abel Salazar, University of Porto, Oporto, Portugal.

Porto Nursing School, Oporto, Portugal.

出版信息

Porto Biomed J. 2017 Nov-Dec;2(6):282-286. doi: 10.1016/j.pbj.2017.04.003. Epub 2017 May 10.

Abstract

HIGHLIGHTS

The increased incidence of dementia places the family in the role of caregiver.It is important to create, to implement and to validate training programmes for family caregivers of people with dementia living at home.The programme "Living together with dementia" addressed in this protocol seeks to be a response to empower these caregivers.

INTRODUCTION

Due the increase incidence of Dementia, the creation, implementation and evaluation of the effectiveness of training programmes for family caregivers of people with dementia living at home should be a goal of health professionals. The aim of this paper is to describe the randomised control trial protocol that will assess the effectiveness of the training programme for family caregivers who care for people with dementia at home "Living together with Dementia".

METHODS

Randomised control trial. Family caregivers of people with dementia in early and moderate stages will be recruited through a neurology appointment at the São João Hospital Centre, Porto-Portugal. The inclusion criteria employed will be as follows: to be the main caregiver of the person with dementia; to be literate; the care target has dementia in early or moderate stage; the person with dementia does not suffer from any other severe mental pathology. Caregivers will be randomised and assigned to control and experimental groups. 3 assessment moments will take place: initial, after the intervention and a follow up of 3 to 6 months. The assessment instruments include a survey containing sociodemographic data, Caregiver Burden Scale, Caregiver Assessment Satisfaction Index and Caregiver Assessment Difficulties Index. The participants of the experimental group will be submitted to a 7-week individual psychoeducational programme. The study was approved by the Health Ethics Committee of the São João Hospital Centre in September 2015.

DISCUSSION

This programme might prove an asset to family caregivers of people with dementia living at home, since it pinpoints understanding and preparation of their role. It also facilitates the intervention of health professional, as it features as a guideline for their performance with this target population.

摘要

要点

痴呆症发病率上升使得家庭承担起照顾者的角色。为居家痴呆症患者的家庭照顾者制定、实施并验证培训项目非常重要。本方案中提及的“与痴呆症共同生活”项目旨在回应增强这些照顾者能力的需求。

引言

鉴于痴呆症发病率上升,为居家痴呆症患者的家庭照顾者制定培训项目并评估其有效性应成为健康专业人员的目标。本文旨在描述一项随机对照试验方案,该方案将评估针对居家照顾痴呆症患者的家庭照顾者的“与痴呆症共同生活”培训项目的有效性。

方法

随机对照试验。将通过葡萄牙波尔图圣若昂医院中心的神经科预约招募早期和中期痴呆症患者的家庭照顾者。采用的纳入标准如下:是痴呆症患者的主要照顾者;识字;照顾对象处于早期或中期痴呆症阶段;痴呆症患者不患有任何其他严重精神疾病。照顾者将被随机分组并分配到对照组和实验组。将进行3个评估阶段:初始阶段、干预后以及3至6个月的随访。评估工具包括一份包含社会人口学数据的调查问卷、照顾者负担量表、照顾者评估满意度指数和照顾者评估困难指数。实验组的参与者将接受为期7周的个体心理教育项目。该研究于2015年9月获得圣若昂医院中心健康伦理委员会的批准。

讨论

该项目可能对居家痴呆症患者的家庭照顾者有益,因为它明确了对其角色的理解和准备。它还便于健康专业人员进行干预,因为它为他们针对这一目标人群的工作提供了指导方针。

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