Department of Psychology and Pedagogy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Campus de Montepríncipe, 28925, Alcorcón, Madrid, Spain.
Unión Democrática de Pensionistas y Jubilados de España (UDP), Madrid, Spain.
Int J Biometeorol. 2021 Feb;65(2):193-203. doi: 10.1007/s00484-020-02018-4. Epub 2020 Sep 23.
This study aimed to analyze the efficacy of an intervention program for informal caregivers of elderly dependent that combined balneotherapy with group psychoeducation (BT-PE) based on the balanced care model. The BT-PE intervention (N = 124) was compared with a comparison group only exposed to balneotherapy (BT) (N = 76). The two modalities included both primary and secondary informal caregivers. A three-way mixed ANOVA was conducted to determine the effects of two between-subjects´ factors (intervention group and caregiver type) and one within-subjects´ factor (time) on burden, depression, anxiety, maladjustment and care satisfaction. Results showed less burden and more care satisfaction in both primary and secondary caregivers participating in the BT-PE program after the interventions. Primary caregivers also showed lower levels of maladjustment in the experimental group at post-intervention. Although depressive symptoms and anxiety decreased significantly in both intervention groups, BT-PE did not show lower scores compared with the application of sole BT. The relevance of caregivers´ psychoeducation on the balanced care model and its combination with balneotherapy is highlighted.
本研究旨在分析一种将水疗与基于平衡护理模式的团体心理教育相结合的老年依赖型非正式照护者干预方案的疗效。BT-PE 干预组(N=124)与仅接受水疗(BT)的对照组(N=76)进行比较。这两种方式都包括初级和次级非正式照护者。采用三因素混合方差分析,确定两个被试间因素(干预组和照护者类型)和一个被试内因素(时间)对负担、抑郁、焦虑、适应不良和护理满意度的影响。结果表明,在干预后,参与 BT-PE 计划的初级和次级照护者的负担减轻,护理满意度提高。实验组的初级照护者在干预后适应不良的程度也较低。尽管两组干预组的抑郁症状和焦虑均显著降低,但 BT-PE 组的评分与单独应用 BT 相比并无降低。强调了照护者心理教育在平衡护理模式中的相关性及其与水疗的结合。