有氧运动对家庭照顾者心理功能的影响：一项随机对照试验的二次分析。
The Effects of Aerobic Exercise on Psychological Functioning in Family Caregivers: Secondary Analyses of a Randomized Controlled Trial.
机构信息
School of Kinesiology, University of British Columbia, University Boulevard, Vancouver, BC, Canada.
Population Studies Center, University of Pennsylvania, Philadelphia, PA, USA.
出版信息
Ann Behav Med. 2021 Feb 12;55(1):65-76. doi: 10.1093/abm/kaaa031.
BACKGROUND
The responsibility and stress of being a family caregiver are associated with reduced physical and mental health.
PURPOSE
To examine whether a 24-week aerobic exercise program improves multiple aspects of psychological functioning in family caregivers.
METHODS
Family caregivers of patients with Alzheimer's disease and other dementias (n = 68) were recruited and randomized into either an aerobic exercise group (n = 34) or a waitlist control group (n = 34). The exercise group was assigned a 24-week aerobic training program that incrementally increased the intensity, duration, and frequency of the exercise program until 150 min of moderate to vigorous activity were completed per week by the ninth week. Twelve measures of psychological functioning were administered at baseline and compared with responses completed following the intervention.
RESULTS
Multilevel modeling revealed significant decreases in caregiver burden (β = -4.60, 95% confidence interval [CI] = [-8.82, -0.38], RLMM2 = 0.11) and depression (β = -2.59, 95% CI = [-4.79, -0.38], RLMM2 = 0.13), as well as increases in mastery (β = 1.78, 95% CI = [0.09, 3.46], RLMM2 = .04) in the exercise intervention group compared to the control group.
CONCLUSION
Family caregivers report high levels of depression and caregiver burden. Engagement in a 24-week exercise intervention can ameliorate the perceived burden of caregiving, symptoms of depression, and their sense of mastery.
背景
作为家庭护理者的责任和压力与身心健康的下降有关。
目的
研究 24 周有氧运动方案是否能改善家庭护理者的多个心理功能方面。
方法
招募了阿尔茨海默病和其他痴呆症患者的家庭护理者（n = 68），并将他们随机分为有氧运动组（n = 34）或候补对照组（n = 34）。运动组被分配了一个 24 周的有氧运动计划，该计划逐步增加运动的强度、持续时间和频率，直到第九周每周完成 150 分钟的中等至剧烈活动。在基线和干预后完成的 12 项心理功能测量中进行了比较。
结果
多层次模型显示，护理者负担（β = -4.60，95%置信区间[CI] = [-8.82，-0.38]，RLMM2 = 0.11）和抑郁（β = -2.59，95% CI = [-4.79，-0.38]，RLMM2 = 0.13）显著降低，以及掌握感（β = 1.78，95% CI = [0.09，3.46]，RLMM2 =.04）在运动干预组中比对照组增加。
结论
家庭护理者报告了高水平的抑郁和护理者负担。参与 24 周的运动干预可以减轻照顾者的负担感、抑郁症状和他们的掌握感。
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