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护士指导下的步行干预对非正式痴呆症照护者的可行性。

Feasibility of a Nurse Coached Walking Intervention for Informal Dementia Caregivers.

机构信息

Boston College, Chestnut Hill, MA, USA.

Massachusetts General Hospital (MGH), Boston, MA, USA.

出版信息

West J Nurs Res. 2022 May;44(5):466-476. doi: 10.1177/01939459211001395. Epub 2021 Mar 20.

DOI:10.1177/01939459211001395
PMID:33745386
Abstract

This study's purpose was to determine the feasibility of a nurse coached walking intervention for informal caregivers of persons with dementia. Participants were randomly assigned to a nurse coached intervention or a control group. Five male and 27 female caregivers ( = 32) participated. Measures included steps, walked well-being, and perceived stress. For steps walked, each group experienced a statistical difference ( = .01 control; = .02 intervention) and large effect size (0.90). Neither group had a statistical difference in well-being ( = .38 control; = .08 intervention) or perceived stress ( = .56 control; = .18 intervention). The intervention group achieved a large effect size in well-being (1.38) and moderate effect size in perceived stress (0.51). A 0.94 pedometer adherence, self-reported user ease with technology and 100% retention rate support feasibility. Many participants described feelings of loneliness and grief, but reported the pedometer motivated them to walk.

摘要

本研究旨在确定护士指导的步行干预对痴呆患者的非正式照顾者的可行性。参与者被随机分配到护士指导的干预组或对照组。有 5 名男性和 27 名女性照顾者(n=32)参与了研究。测量指标包括步数、行走幸福感和感知压力。对于行走的步数,两个组都经历了统计学差异(对照组:p=0.01;干预组:p=0.02)和大的效应量(对照组:0.90;干预组:0.92)。两组在幸福感(对照组:p=0.38;干预组:p=0.08)或感知压力(对照组:p=0.56;干预组:p=0.18)方面均无统计学差异。干预组在幸福感方面达到了大的效应量(1.38),在感知压力方面达到了中等效应量(0.51)。94%的计步器依从性、自我报告的技术易用性和 100%的保留率支持了该干预的可行性。许多参与者描述了孤独和悲伤的感觉,但报告说计步器激励他们去散步。

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