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针对痴呆症患者的非正式照顾者的负担和情绪健康的心理教育干预。

Psychoeducational intervention on burden and emotional well-being addressed to informal caregivers of people with dementia.

机构信息

Department of Nursing, Hospital Clinic of Barcelona, Barcelona, Spain.

Hospital Pere I Virgili of Barcelona, Barcelona, Spain.

出版信息

Psychogeriatrics. 2020 Nov;20(6):900-909. doi: 10.1111/psyg.12616. Epub 2020 Oct 4.

Abstract

BACKGROUND

In dementia it is necessary that a family member become an informal caregiver. This labour has social, physical and emotional repercussions on the caregiver's health. The objective was to assesses the impact of the INFOSA-DEM intervention on burden and emotional well-being among caregivers of people with dementia, evaluating the effects at 3 and 6 months.

METHOD

We adopted an experimental, non-randomised design with an intervention group and a control group. The intervention group received the intervention and the control group received usual care. The study was carried out in the catchment areas of three centres specialising in the care of people with cognitive impairment in the province of Barcelona.

RESULTS

At 3 months, there was an improvement with respect to burden in the intervention group with a significant worsening (P < 0.012) in the control group. Similarly, a positive effect on emotional well-being was observed in the intervention group compared with a small negative effect among controls.

CONCLUSIONS

Programs addressed to informal caregivers based on psychoeducational and cognitive-behavioural therapies are effective in improving quality of life and emotional well-being, and in reducing burden, with a positive effect on the quality of care provided at home.

摘要

背景

在痴呆症中,有必要让家庭成员成为非正式的照顾者。这种劳动对照顾者的健康会产生社会、身体和情绪方面的影响。目的是评估 INFOSA-DEM 干预对痴呆症患者照顾者负担和情绪健康的影响,评估 3 个月和 6 个月时的效果。

方法

我们采用了实验性、非随机设计,设有干预组和对照组。干预组接受干预,对照组接受常规护理。该研究在巴塞罗那省三个专门为认知障碍患者提供护理的中心的服务区域内进行。

结果

在 3 个月时,干预组的负担有所改善,而对照组的负担则明显恶化(P < 0.012)。同样,干预组的情绪健康也有积极的影响,而对照组则有轻微的负面影响。

结论

针对基于心理教育和认知行为疗法的非正式照顾者的方案,在改善生活质量和情绪健康方面,以及在减轻负担方面是有效的,对家庭提供的护理质量有积极影响。

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