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一通电话改变一切:对阿尔茨海默病协会全国痴呆症护理者热线对护理者结果影响的评估。

One call makes a difference: An evaluation of the Alzheimer's Association National Helpline on dementia caregiver outcomes.

机构信息

University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA, 19104-4217, United States.

University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA, 19104-4217, United States.

出版信息

Patient Educ Couns. 2021 Apr;104(4):896-902. doi: 10.1016/j.pec.2020.09.026. Epub 2020 Sep 23.

DOI:10.1016/j.pec.2020.09.026
PMID:33004235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10001241/
Abstract

OBJECTIVE

The study evaluated the effects of care consultation delivered through the Alzheimer's Association National Helpline - a free resource in which master's-level clinicians offer confidential support. The study compared the effectiveness of Helpline "Care Consultation" and "Care Consultation Plus" conditions on caller outcomes.

METHODS

Four hundred and forty-five non-crisis callers were randomly assigned to the traditional Helpline "Care Consultation" or a "Care Consultation Plus" condition that included one additional booster call.

RESULTS

While no differences were found between the two conditions, the study found that callers reported significantly improved caregiver mental health scores (27 % net improvement over baseline) and ability to manage emotions (29 % net improvement) at one week (p = .006). By one week, 70 % of callers had put action steps in place and by 1 month 80 % of callers had put action steps into place. Over 80 % of callers reported action steps were "helpful".

CONCLUSION

A single call provided a measurable benefit to caregivers'mental health, ability to manage emotions and ability to engage in action planning and accessing resources.

PRACTICE IMPLICATIONS

This pilot study demonstrated that the support provided via the Helpline can be effective at improving caregiver mental health and improving the ability of callers to "take action".

摘要

目的

本研究评估了通过阿尔茨海默病协会国家热线提供的护理咨询的效果 - 这是一个免费资源,硕士水平的临床医生提供保密支持。该研究比较了热线“护理咨询”和“护理咨询加”条件对呼叫者结果的有效性。

方法

445 名非危机呼叫者被随机分配到传统的热线“护理咨询”或“护理咨询加”条件,后者包括另外一次增强电话。

结果

虽然两种条件之间没有差异,但研究发现呼叫者报告的照顾者心理健康评分显著改善(与基线相比净改善 27%),情绪管理能力显著改善(净改善 29%),在一周内(p=0.006)。一周后,70%的呼叫者已经采取了行动步骤,一个月后,80%的呼叫者已经采取了行动步骤。超过 80%的呼叫者表示行动步骤“有帮助”。

结论

单次通话对照顾者的心理健康、情绪管理能力以及参与行动计划和获取资源的能力都有可衡量的益处。

实践意义

这项试点研究表明,通过热线提供的支持可以有效地改善照顾者的心理健康,并提高呼叫者“采取行动”的能力。

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本文引用的文献

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