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减轻痴呆症患者照料者负担的非药物治疗形式——一项试点干预研究

Nonpharmacological Forms of Therapy to Reduce the Burden on Caregivers of Patients with Dementia-A Pilot Intervention Study.

作者信息

Szczepańska-Gieracha Joanna, Jaworska-Burzyńska Lilianna, Boroń-Krupińska Krystyna, Kowalska Joanna

机构信息

Department of Physiotherapy, University School of Physical Education, 51-612 Wroclaw, Poland.

Department of Physical Education and Sport, University School of Physical Education, 51-612 Wroclaw, Poland.

出版信息

Int J Environ Res Public Health. 2020 Dec 8;17(24):9153. doi: 10.3390/ijerph17249153.

Abstract

The aim of this pilot intervention study was to assess the effectiveness of selected forms of therapy (massage and relaxation) in reducing the perceived burden and improving the emotional status of caregivers of people with dementia and to determine which form of physical intervention is most effective. The study group was made up of 45 informal caregivers, who were divided into three subgroups (the massage group, relaxation group and control group). The Caregiver Burden Scale (CBS), Beck Depression Inventory (BDI), Berlin Social Support Scale (BSSS) and the Satisfaction with Life Scale (SWLS) were used. In the study group of caregivers, an average level of perceived burden, satisfactory life satisfaction and moderate severity of depressive symptoms were found. Massage led to a reduction in perceived burden and an improvement in mood and well-being of the examined group of caregivers. Group relaxation activities had no effect on the level of burden experienced by the caregivers, but significantly improved their mood. Both massage and relaxation were equally effective in improving the well-being of caregivers. Due to the lower cost of group activities, relaxation activities seem to be more effective and easier to organize, but further studies are necessary.

摘要

这项试点干预研究的目的是评估选定的治疗形式(按摩和放松)在减轻痴呆症患者照料者的感知负担和改善其情绪状态方面的有效性,并确定哪种身体干预形式最有效。研究组由45名非正式照料者组成,他们被分为三个亚组(按摩组、放松组和对照组)。使用了照料者负担量表(CBS)、贝克抑郁量表(BDI)、柏林社会支持量表(BSSS)和生活满意度量表(SWLS)。在照料者研究组中,发现了平均水平的感知负担、令人满意的生活满意度和中度严重程度的抑郁症状。按摩使被检查的照料者组的感知负担减轻,情绪和幸福感得到改善。团体放松活动对照料者所经历的负担水平没有影响,但显著改善了他们的情绪。按摩和放松在改善照料者的幸福感方面同样有效。由于团体活动成本较低,放松活动似乎更有效且更容易组织,但还需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642f/7762537/9f0e9af41f0c/ijerph-17-09153-g001.jpg

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